Opportunities for Adults and Children

This was a comprehensive assessment of all 5 key questions triggered by our ongoing monitoring of the service. We reviewed all 33 quality statements related to the 5 key questions, Is the service safe, effective, caring, responsive and well-led?

The provider was previously in breach of the legal regulations in relation to safe care and treatment, staffing and good governance. Improvements were found at this assessment, and the provider was no longer in breach of these regulations.

We expect health and social care providers to guarantee autistic people and people with a learning disability 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. We found people received care and support in accordance with the principles of this guidance.

People were supported to have choice and control, could give feedback on their care and were supported by staff who knew them well and treated them with kindness and respect.

People were involved in planning and reviewing their care, which reflected people’s choices and promoted their independence.

There were enough staff to meet people's needs. A culture of kindness, inclusion, and respect was promoted within the service which supported person-centred care. Staff were kind and caring and had a good understanding of how to meet people’s needs.Staff were trained to raise and respond to safeguarding concerns both internally and to external agencies.

Some shortfalls were identified during the assessment, including inconsistencies in the detail of some care plans and risk assessments and some medicines records. The provider had recognised these areas through their internal governance processes and had begun taking action to address them. Improvements were underway at the time of the assessment.

There were systems in place to oversee and improve the quality and safety of the service. Incidents were reviewed and learning was shared to support continuous improvement. The provider had processes in place to respond to concerns and complaints and took action to ensure issues were addressed.

There were systems in place to oversee and improve the quality and safety of the service. This helped to promote a good quality standard of care. The service learned from incidents and action was taken to ensure improvements were made where needed. There was a system in place for responding to concerns or complaints.

The registered manager demonstrated strong knowledge of the service and actively promoted a positive, inclusive ethos. Leaders were passionate about the service and the promotion of person centred care. The provider fostered a learning culture, actively seeking feedback and making improvements.They encouraged feedback and regular engagement with people, relatives and staff, and used this to drive ongoing improvements and deliver positive outcomes for people.

The provider engaged proactively in partnership working, ensuring care was well-coordinated and responsive to individual needs. The provider had effective policies and procedures in place to promote good quality care and effective oversight of the service. Leaders utilised opportunities to network, share learning and practice within the organisation and externally with other professionals.