Pooleview Support Services

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.

The service was not able to demonstrate how they were meeting some of the underpinning principles of Right support, right care, right culture.

Right Support People in supported living arrangements should have their care and their tenancy agreement provided to them separately. This allows them to have choices to remain in their home but seek an alternative care provider if they wish to. Because people were living in the home of the provider, this choice was not fully available to them. The provider gave assurance people could remain in their home and receive care from others if the need ever arose. The provider had not identified some concerns we found during our inspection. Systems were either not in place or not robust enough to identify some issues around procedures to ensure safe and effective care for people. We saw no evidence anyone was harmed, and the provider took immediate steps to address the concerns we highlighted. Some staff had not completed training in learning disabilities awareness but did complete an induction and ongoing training programme. People were supported by staff to pursue their interests. The service gave people care and support in a safe, clean, well equipped, well-furnished and well-maintained environment which met their sensory and physical needs. Staff enabled people to access specialist health and social care support in the community.

Staff supported people to make decisions following best practice in decision-making. Staff communicated with people in ways which met their needs. Staff supported people to play an active role in maintaining their own health and wellbeing.

Right Care People received kind and compassionate care. Staff protected and respected people's privacy and dignity. They understood and responded to their individual needs. Staff understood how to protect people from poor care and abuse. The service worked well with other agencies to do so. Staff had training on how to recognise and report abuse and they knew how to apply it. People's care, treatment and support plans reflected their range of needs and this promoted their wellbeing and enjoyment of life. People could take part in activities and pursue interests tailored to them. Staff and people cooperated to assess risks people might face. Where appropriate, staff encouraged and enabled people to take positive risks.

Right culture People received good quality care, support and treatment because staff and specialists could meet their needs and wishes. People and those important to them, were involved in planning their care. People's quality of life was enhanced by the service's culture of improvement and inclusivity.