Wharfedale View

The service supported adults including people living with dementia, physical disabilities, mental health conditions, learning disabilities and autistic people.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.

People's experience of the service and what we found

Right Support: People received their medicines safely although some medicines records could have been more consistently detailed and personalised. We made a recommendation about this. People told us they received good care which met their needs. People were supported by regular staff which enabled them to develop positive relationships with their care staff.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

Staff worked in partnership with people, relatives and health and social care professionals to enhance people's quality of life and provide good outcomes for people. People were actively involved in making decisions about their care and staff respected people's preferences.

People received effective support to eat and drink and risks were identified and well managed.

Right Care: People received consistent care from staff who knew them well. People told us staff were kind, caring and promoted their independence. People's needs and preferences were assessed and staff respected people's individual wishes. People and those important to them were involved in planning their care.

Staff understood how to protect people from poor care and abuse. People said they felt safe when staff cared for them. Staff were recruited safely and there were enough staff to meet people's needs.

Risks were assessed and actions taken to maintain people's safety and wellbeing. Care records were personalised and contained detail which supported staff to deliver person-centred care.

Right Culture: Quality assurance and monitoring systems enabled the provider to maintain operational oversight and monitor the quality of care provided. The provider's governance systems for checking records needed to be more robust. We made a recommendation about this.

The registered manager promoted a positive and open culture where the needs and views of people using the service were put first. Staff listened to and responded positively to people's views.

Staff received appropriate training and ongoing support to ensure they provided people with safe care which met the positive values and caring ethos of the service.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk