Radis Community Care (Reading Supported Living)

The service was able to demonstrate how they were meeting some of the underpinning principles of right support, right care, right culture. However, they needed to make improvements to fully meet these.

Right Support: People did not always experience good quality care with good outcomes. There were not always enough staff with the right mix of skills and experience to meet autistic people's care and support needs. Staff had not completed required training to support people living with autism and other associated complex needs, including eating disorders. People did not always receive care from staff who they knew and trusted, which had an adverse impact on their mental health and wellbeing. Staff had not always been recruited safely, which meant the provider could not be assured all staff were safe to work with vulnerable people.

People were not always supported to have maximum choice and control of their lives. however, staff supported people in the least restrictive way possible and in their best interests; the policies and systems in the service supported least restrictive practice.

Staff had training in safeguarding and knew how to report any concerns. People's risks were clearly assessed, and clear guidance given to staff to minimise and manage risks safely. People were supported to

manage and take their medicines safely and on time.

Right Culture: The ethos, values, attitudes and behaviours of leaders and care staff did not always ensure people lead confident, inclusive and empowered lives. The provider had not promoted a positive culture within the service that was person-centred, open, inclusive and empowering, which achieved good outcomes for people. People and staff consistently told us they did not feel valued or listened to by the registered manager. The registered manager had failed to consistently assess and monitor the quality of the service and effectively operate systems and processes to ensure compliance with the regulations. This meant the provider could not be assured that required learning and improvements had been identified and implemented.

Right Care: People did not always experience person-centred care which promoted people's dignity, privacy and human rights. People were not always supported to express their views and be involved in making decisions about their care. The registered manager did not always make sure that staffing was organised so that people consistently received care and support from familiar staff. People told us that agency staff did not always understand how they wished their privacy and dignity maintained. This resulted in people not always feeling they were respected or valued. The service did not always understand the importance of ensuring that staff had the skills and time to recognise when and how to give people compassionate support when they need it. People were not always enabled to make choices for themselves by the provider. Relatives and social care professionals were concerned that autistic people were not supported by staff who were trained to the right level to meet their complex needs.

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.