Wishes Care and Support Yorkshire

Improvements have been made to staffing levels, the service had recruited new staff to ensure appropriate staffing levels. A thorough recruitment process was in place to ensure staff recruited were suitably trained and skilled to carry out their role.

Care plans were detailed and person-centred and provided clear guidance to staff on how to care for people effectively. Care plans were regularly reviewed and updated when required.

Medicines were managed safely.

People and their relatives told us the management and staff were approachable and knowledgeable. Regular audits carried out helped improve the service when needed.

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.

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.

The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. The model of care and support provided to people maximised their choice, control and independence. People were involved in all aspects of their care and future planning. Care provided was centred around the person and promoted people's dignity, privacy and human rights. The ethos, values,

attitudes and behaviours of the management team and support staff ensured people lead confident, inclusive and empowered lives.