Innovations Wiltshire Limited - Pelham Court

The service also has supported living accommodation for three people living in Marlborough and Pewsey. People's care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people's personal care and support.

Not everyone using Innovations Wiltshire Limited - Pelham Court receives regulated activity; CQC only inspects the service being received by people provided with 'personal care'; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided.

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. 'Right support, right care, right culture' is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

Staff worked with professionals to create personalised behaviour support plans for people where needed. Staff were knowledgeable about strategies they should use to reduce distress and work in a safe way. Reviews were carried out regularly so any changes in people's lives were added to management plans.

Right Care People were cared for by staff who enjoyed their work and understood their responsibilities for safeguarding. Staff had received training on what abuse was and signs to look for. Systems were in place to make sure any concerns were investigated and reported in a timely way.

Feedback from people about the staff was all positive. People appreciated the staff approach and relied on them to maintain independence. There were enough staff available to support people safely. The provider had faced staffing challenges and was looking at new methods of attracting applicants to work with people. There had been no missed visits.

Right culture

People were supported by staff who understood person-centred care. The registered manager and the provider were passionate about making sure people had the care and support they needed. Care plans were personalised and staff we spoke with knew people well. There was an open culture at the service where all concerns were taken seriously, and action taken in response. The provider worked with local authorities and healthcare professionals to make sure people had their needs met.

Quality monitoring systems were in place to assess and monitor quality and safety. Senior management met regularly to discuss people's needs and identify any improvements to the service.