Gravesend

Not everyone who used the service received personal care. 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. At the time of the inspection the service was supporting 26 people with personal care.

Staff knew how to recognise and keep people safe from abuse and discrimination. Potential risks to people's health and welfare had been assessed. There was guidance in place for staff to mitigate these risks. Staff understood their roles and responsibilities including infection prevention control.

People were supported by staff who were recruited safely and had the skills to support people's complex needs. There were enough staff to meet people's needs. People told us staff were on time and did not rush them. People were supported to take their medicines as required.

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; 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 statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.

The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. Relatives told us people's privacy and dignity were respected by staff. People

received person centred care, staff discussed with people and relatives their goals and aspirations. Relatives told us their loved ones were supported to be part of the community.

Checks and audits were completed on the quality of the service. People, relatives and staff were supported to express their views. People and relatives knew how to raise concerns and were confident action would be taken.

The registered manager and staff were passionate about providing high quality care. They had a vision for the future of the service to offer specialised support for people living with dementia and autism.