Include 'In' Autism

An inspection has been undertaken of a specialist service that is registered for use by autistic people or people with a learning disability. We assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group.

At the time of inspection there were 6 people using the service and all of the people were receiving the regulated activity 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.

A registered manager was in place. A registered manager is registered with the Commission and is legally responsible to ensure that the service is compliant with legal and regulatory requirements.

At our last inspection, we identified a breach of legal regulation in relation to fit and proper persons employed. At this inspection, improvements had been made and the provider was no longer in breach of legal regulation.

At this inspection we found the service was meeting the underpinning principles of Right support, Right care, Right culture. Systems were in place to provide safe, effective care and person-centred support to people. The provider, registered manager and staff team went above and beyond to help people achieve their goals and aspirations by building their confidence and breaking down barriers to increase independence.

Staffing capacity was sufficient to ensure people's needs were met in a safe way. Improvements had been made to roster management and people received consistent care from staff they knew. Systems were in place for people to receive their medicines in a safe way. There were enough staff with the necessary skills, qualifications and experience to meet people’s needs. Staff were safely recruited. People were treated with kindness and compassion. Staff protected their privacy and dignity.

Risk assessments were in place, and they identified current risks to the person as well as ways for staff to minimise or appropriately manage those risks. Records were up-to-date, detailed and reflected people's care and support needs. People’s mental capacity and ability to consent was taken into account. People and their representatives were involved in planning their care and support. There was evidence of collaborative working and communication with other professionals to help meet people's needs.

Relatives and staff were confident about approaching the registered manager and management team if they needed to. Processes were in place to manage and respond to complaints and concerns. Systems were in place to monitor the quality and safety of the service.