Aspire 2B Care

We assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted. We were assured the service met the principles of ‘Right support, right care, right culture’ and people received person-centred and focused care and support. Whilst we had some concerns about shortfalls in record keeping and governance arrangements, we were assured this had not directly impacted on people’s experiences of care and support.

People were supported by core groups of consistent staff, who knew them very well. Staff demonstrated a good understanding of people’s individual needs, respecting preferences, promoting independence, and engaging people in meaningful activities. Recruitment was managed safely. Staff had the skills and training to be able to carry out their role. Medicines were managed safely, although some improvements were required. People’s health and social care needs were actively promoted. People’s care and support was monitored and reviewed to continuously improve this.

Partnerships with health professionals and the community supported continuity of care, safe transitions, and engagement in broader community life. We received very positive feedback from health and social care professionals who worked with the service. Safeguarding and infection prevention and control systems were understood, and people reported feeling safe. Equality and inclusion were promoted, with staff treating people respectfully and supporting access to care in line with individual needs.

Some audits were in place to maintain oversight of the service. However, over recent months they had not been completed or monitored robustly, which meant any shortfalls may not have been identified. The provider acknowledged these shortfalls fully and took steps during the assessment process to rectify this. There were clear management structures in place to make the required improvements. The provider was accessible and approachable and committed to providing a person-centred, high-quality service and we were fully assured they would make the required improvements.