FHS24 Nursing+Care Agency

CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.

The service for people with learning disabilities and/or autism has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

People told us they were happy and appeared comfortable in the presence of staff. Medicines were administered safely. Most risks had been identified with ways to mitigate them in place. However, concerns were found with one person who had a specialist eating and drinking plan. Following the inspection, the registered manager had taken action to rectify them. Records and processes around the management of behaviours which could challenge themselves or others were in place.

The management strove to be open and constantly develop and improve the support people were received. When systems had identified issues, actions were being taken.

People were supported by enough staff to meet their needs. Staff had received a range of training including specialist courses in health and social care. Care plans were personalised and provided a range of information for staff to use to support people's needs and wishes. There were good links with other health and social care professionals.

Staff were kind and caring and knew the people they were supporting well. Staff respected privacy and dignity. Links had been developed with the community which had a positive impact for people.

Independence was promoted, as were the values of treating each person as an individual.

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.

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service who had learning disabilities and/or autism can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

The outcomes for people using the service with learning disabilities and/or autism reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.