Dynamic Support

Though the assessment of these 5 quality statements indicated areas of good practice since the last inspection, our overall rating remains good with outstanding in effective. This inspection was to follow up concerns we received. This includes how well led the service was, whether people were receiving personalised care, staff recruitment and training, whether consent was sought and medicines management.

The registered manager led with compassion, knowledge and inclusivity. Staff described the leadership as supportive and empowering, with a strong focus on learning and improvement. People and relatives praised the manager for delivering care that exceeded expectations.

People consistently enjoyed their care and support. Staff treated people with kindness and respect, creating a warm and safe environment. Relatives confirmed their loved ones felt happy, safe and well cared for.

Managers used clear systems to ensure high-quality, person-centred care. They involved staff and people in service improvements and sought external reviews. The team acted on feedback and maintained accountability at all levels.

Staff always offered people choices and respected their decisions. The service supported people to make informed decisions, even when they lacked capacity. Managers advocated for people’s rights and involved those important in key decision.

Staff tailored care to each person’s needs and preferences. Activities were meaningful and based on individual interests. Staff used personalised communication methods and responded quickly to change in needs.

Staff protected people from harm and responded quickly to concerns. They involved people and families in managing risks and encouraged positive risk taking. Managers ensured staff followed clear safeguarding procedures and worked with external partners.

Staff administered medicines safely and according to people’s preferences. They worked with prescribers to reduce unnecessary medication. Managers addressed a minor issue with unused medicine promptly.

Managers created a culture where people and staff felt safe to raise concerns. Staff knew how to report issues and trusted that managers would act. People and relatives confirmed that the service responded to feedback.

We have 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.