Main Office

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 our inspection there were 3 people receiving a regulated activity.

At the time of the inspection, the location did not care or support for anyone with a learning disability or an autistic person. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group.

Right Support: Some people did not have all relevant health specific risk assessments in place, but staff had received training relevant to their roles including Learning Disabilities and Autism. Some people did not appear to always receive medicines they were prescribed. Audit systems were not effectively used to identify gaps in recording of medicines in a timely manner. 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 but was not embedded.

Right Culture: Oversight of the service required improvement. We identified shortfalls at inspection that had not been independently identified by systems and processes already in place. These included audits not effectively being used to identify risk. This meant opportunities to make improvements were lost. People using the service and staff felt the culture was open, and the registered manager was easily accessible. Concerns raised were listened to and people and staff had faith the registered manager would act upon any issues to make positive changes for people where needed. People were happy with the care they received from a consistent team of care workers.

Right Care: Systems were in place to identify safeguarding concerns, although there were no recorded incidents to

review to demonstrate practice was embedded. Staff were able to identify adult safeguarding concerns and the registered manager was aware of their responsibility to investigate and report concerns to relevant partner agencies. People were supported by staff who were highly passionate about delivering good care and going above and beyond for people. Staff understood consent and processes to support the assessment of people's capacity was in place. It was difficult to establish if practice was embedded as people's capacity in relation to decision specific choices had not been assessed.