Elyon Healthcare

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.

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; however, the policies and systems in the service did not support this practice. The service carried out regular audits to monitor the quality of the service. The provider had identified they did not have evidence of lasting power of attorneys. Although initially they had contacted relatives to obtain the records, the provider had failed to follow this up. This meant that decisions were being made without evidence of the legal authority required to do so.

People were protected from abuse. There were systems and processes in place to protect people from avoidable harm. Staff understood their responsibilities on how to identify and report concerns and felt confident that the management team would action these appropriately.

Medicines were managed safely. Staff received training in the administration of medicines during their induction and undertook annual refresher training. Staff were recruited safely. The service organised staff allocation so that a small group of familiar staff supported each person. People's needs were assessed before they started using the service to ensure these could be met. Relatives told us they had been fully involved in the assessment and care plan process. Staff had completed induction training prior to delivering services to people and they had regular refresher courses to maintain their skills and knowledge. Staff received training and support in relation to infection prevention and control

People were supported to maintain or improve their health. They had access to external health care professionals when needed. The management team gathered feedback about the quality of the service through telephone calls, surveys and visits to people using the service and their relatives.

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.

This service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. People received person-centred support to achieve positive outcomes. Staff had received training about people's right and choices, and this was promoted in their practice.