Cure Healthcare Services Limited

People were kept safe from avoidable harm because staff knew how to protect them from abuse. The registered manager made sure risk assessments relating to people's health and welfare were completed and regularly reviewed. There was sufficient staff to support people and safe recruitment practices was employed. Medicine practices were safe because staff received appropriate training and their competency to administer medicines was assessed. There were appropriate infection control practices.

Care and support were planned and delivered in line with current evidence-based guidance, standards, best practice, legislation. Assessment of people's needs were comprehensive and were developed with involvement of people and their relatives. People's nutritional needs were met. Staff were appropriately inducted, trained and supported and worked collaboratively with external agencies to ensure people had good health outcomes.

People felt valued by staff who showed genuine interest in their well-being and quality of life. A person commented, "I like them (staff) very much and I like them coming to help me, they are very kind to me." People were treated with dignity, respect, and kindness. People were supported to express their views and were involved in decisions relating to their care.

People received personalised care to ensure they had choice and control and to meet their needs and preferences. The service was responsive to people's needs. People said they had no complaints about the service and knew what to do if they needed to. The provider had systems to receive, handle and investigate complaints.

Governance processes were effective and helped the service to ensure the welfare and safety were protected and provide good quality care and support. The service has a positive culture that is person- centred, open, and empowering. Staff understood their role and responsibilities, were motivated, and had confidence in the management team. The service worked collaboratively with health and social care professionals to make sure people had access to services of need.

People were supported to have maximum choice and control of their lives and staff did support them in the least restrictive way possible and in their best interests. The policies and systems in the service supported this practice.

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. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.

Right Support: People were not supported to have maximum choice and control of their lives. Staff had received appropriate training to support autistic people, people with dementia, people with a learning disability and people with a mental health condition. Care plans contained enough information to enable staff to support people and meet their individual needs.

Right Care: People received kind and compassionate care. Staff protected and respected people's privacy and dignity. They understood and responded to their individual needs.

Right Culture: People and those important to them, including advocates, were involved in planning their care. Staff felt respected, supported and valued. They said the service promoted equality and diversity in daily work and provided opportunities for development and career progression. They could raise any concerns without fear.