First Practice Healthcare Ltd

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.

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.

Initial information gave a good overview of the person but did not always detail information on care required and how conditions could be improved or managed. However, people told us staff understood their needs. People's likes and dislikes were considered. People's life history was acknowledged. Staff received appropriate training to assist them in their role. People told us they were supported to eat and drink without issues.

There was a mix of opinion about staff members attitude towards people. Some felt it was caring and supportive, whilst others felt it was abrupt and rushed. People told us their privacy and dignity was managed well during the care they received. People's decision making was promoted.

There was inconsistency in care plans, and some had a higher level of information than others. People had been part of developing their care plan. Feedback was taken from people on a regular basis.

Whilst systems were in place to record complaints, lessons learnt were at times generic and not person centred. Audits did not identify the issues raised during the inspection. Audits did not lend themselves to the easy identification of patterns and trends. People's preferred communication were used. The service worked

with external agencies.

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 guidance CQC follows 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. People were offered choices and encouraged to make decisions on the care they wanted to receive.