London Borough of Hillingdon

The last rating for this service was good (published 17 March 2018). This assessment was scheduled due to the age of this rating. At this assessment, the rating remained good.

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.

The service was able to demonstrate they were meeting the principles of Right support, right care, right culture. People were safe. Risks to their safety and wellbeing had been assessed and they were supported to take positive risks and try new things. People were supported by knowledgeable staff who understood their needs and promoted their wellbeing.

People’s needs and choices were assessed. Staff helped them to plan goals which reflected their needs and preferences. These were regularly reviewed and monitored to make sure they remained relevant and important to the person. Staff supported people to manage their own health and understand about healthy living. Staff communicated well with external healthcare professionals and advocated for people when needed.

Staff understood that people communicated in individual ways. They supported them to understand information and make meaningful choices. Staff supported people to access a range of services within the community and at home. People learnt new skills and developed their confidence and independence.

The service was well-led. Staff had a range of training relevant to their roles. There was information about best practice. Staff and managers worked with others to monitor the service and to reflect on things that went wrong. Stakeholders were able to contribute their ideas. There were systems to actively avoid a closed culture by ensuring regular interventions and oversight from others, as well as providing staff with the information they needed and opportunities to speak up.