Advantage Healthcare - South Coast

Not everyone who used the service received personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.

Audits of care records did not always identify areas for improvement or gaps. A new online care record system was being introduced to give managers improved processes to review and audit records.

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 did not always support this practice. We found mental capacity assessments and best interest decision making was not robustly documented.

Staff were safely recruited to their roles. There were safeguarding policies and processes which staff followed to keep people safe and report any concerns. Staff were trained to manage infection prevention and control and had access to the personal protective equipment (PPE) they needed.

People's nutritional and health needs were managed effectively with them. Professional advice and guidance was followed when people required healthcare and nursing support. People's needs were regularly reviewed, and referrals were made to health professionals when required.

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.