Community Living Ltd

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 able to demonstrate how they were meeting the underpinning principles of right support, right care, right culture. The staff put people receiving support at the centre of the service and a personalised service was provided that met people's individual needs. Staff empowered people to make their own decisions and be in control of their lives as much as possible. The staff were working with people to help them achieve their goals and good outcomes.

People were treated well and staff were respectful in how they interacted, spoke with and talked about people. Staff were aware of people's cultural backgrounds and any religious preferences. They provided support that respected people's preferences and provided support which identified and promoted people's heritage. People's privacy and dignity was promoted and respected. As people were developing their daily living skills and their independence, staff were able to give people more space and privacy.

Staff were supporting people to develop their daily living skills and to become more independent with their personal care needs. Staff were also working with people to recognise and manage their emotions. Staff were aware of how people communicated and supported them to communicate, this included the use of non-verbal communication. Staff had supported people to integrate into the community.

Safe recruitment practices were in place and people were supported by experienced staff that were of good character. There were sufficient numbers of staff to provide people with the level of support they required. Staff rotas clearly identified which staff were allocated to support particular individuals at the service to ensure they received the level of support they required. Competency assessments were undertaken to ensure staff retained information they learnt during training and had the skills to undertake their role safely.

Governance systems were in place to review the quality and safety of the service and the support people received. However, we found that some of these processes needed formalising. This included particular audits and feedback mechanisms. The staff worked in partnership with people's healthcare teams to ensure they received the level of support they required. The team were highly motivated and dedicated to providing high quality care. The provider took on board advice from healthcare professionals in order to improve practices.