Ralle Health Limited

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, relatives and staff spoke positively about the culture, leadership and quality of support. People told us staff were kind, reliable and highly consistent, which helped people feel safe and reassured. Feedback described care as person centred, with staff knowing people well, maintaining dignity and supporting independence. Professionals also reported positive working relationships, stating staff communicated well and responded promptly to concerns.

Care plans were written in a person-centred way and reflected people’s preferences, routines and life histories. Risks were identified, particularly in relation to the environment and medicines, and there was evidence that care was delivered in line with care plans.

Staff told us they felt well supported and described a positive, hands-on management approach. Training was up to date, planned in advance and included a mix of online and face-to-face learning. Systems for staffing, rotas and continuity planning were in place and generally effective. However, recruitment records showed gaps in safer recruitment practice. Also, a safeguarding incident had not been notified to CQC as required, and incident records lacked sufficient detail to demonstrate learning. This was addressed at the time of our inspection.

Overall, the service demonstrated a caring culture, strong relationships and consistent care delivery. Leadership was visible and supportive, but improvements were needed to strengthen governance, safeguarding oversight and recruitment compliance. The provider has since updated us and has taken action to ensure these areas are now addressed.