Aptine Ltd

We assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted.

People received safe care provided by appropriately trained and supported staff. Staff knew how to recognise and report any safeguarding concerns. Although some risk assessments related to specific health conditions did not provide fully robust guidance for staff, staff could access other healthcare guidance and were familiar with the individuals, which enabled them to support people safely. The registered manager improved record keeping following our feedback, reviewed risk assessments to include all relevant details and analysed medicines administration records to improve their accuracy and to ensure people received safe support as they required. People had personalised care plans in place. The care plans included information on how people’s individual day-to-day care risks were monitored and how staff supported them, in line with their preferences and wishes, to remain safe, well and as independent as possible. Staff felt valued, respected, supported and involved in the service. Staff told us they could easily contact the management and felt encouraged to speak up when needed and to provide feedback. Incidents and accidents were analysed, and case studies were discussed with the staff team to ensure lessons learnt were implemented. The management team carried out a range of checks and audits of the quality and safety of the service. Although not all actions within the service improvement plan were fully completed at the time of this assessment, we saw significant changes had been made to the systems and processes to improve the service. For example, in relation to care planning, incident analysis and monitoring or staff training. The registered manager worked well with local partners and ensured they were aware of the national best practice guidance which helped them to shape the service. The management team were approachable and visible.