Office

Systems and processes to keep people safe were effective. Risks associated with people's healthcare and support needs had been reviewed. Staff had up to date and detailed guidance of how to manage and mitigate risks.

Medicines management followed best practice guidance and new and improved medicines audits and monitoring systems had been introduced. Whilst there had be no accidents or incidents since the last inspection, the provider had implemented a new system that would enable a review and learning from any events that occurred.

Recruitment processes had been reviewed and a robust recruitment procedure introduced. All staff had pre- employment checks completed, this included a criminal record check to ensure they were suitable to work with vulnerable people.

Staff training and support had been improved upon. Staff had received mandatory training the provider had identified as required. Action were ongoing to ensure staff became fully compliant with all training requirements. Staff received opportunities to discuss their work, training, and development needs.

The staff rota confirmed how staff were deployed to meet people's individual needs. Staff recruitment was ongoing, and staff shortfalls were covered by the management team.

Infection prevention and control practice did not fully reflect best practice guidance. Where shortfalls were identified, these were raised with the provider and immediate action was taken. Staff had access to sufficient stock of personal protective equipment to reduce the risk of infection spread. Staff undertook weekly testing for COVID-19 and the provider had a system to monitor this.

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.

This service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. The provider's new and improved systems and processes enabled a person using the service, to have choice and control of their care and support.

At the time of the inspection, there was not a registered manager in place. The day to day management and responsibility for the service was with the nominated person and a director.