Support to Lead

Recruitment checks were robust to ensure staff were suitable to work with vulnerable adults. Staff received training in infection prevention and control and told us personal protective equipment (PPE) was readily available to them.

Staff had the necessary skills to carry out their roles. Staff had regular training and opportunities for regular supervision.

People's needs were assessed prior to starting with the service and care plans were developed according to people's needs. People were supported to access healthcare services if required.

People and relatives told us staff were on time for their visits and if in a rare occasion staff were delayed, they were informed via telephone.

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.

People's views and decisions about care were incorporated when their care packages were devised. People's cultural and religious needs were met. The service promoted people to live as independently as possible and their care planning reflected this. People's right to privacy and dignity was respected.

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 received training and support to enhance their skills and understanding in relation to maximising choice, promoting person-centred care and creating the right culture.

Care plans were detailed and person-centred. People had support with a range of indoor and outdoor activities where required. End of life wishes were generally discussed with people and their relatives; however, the wishes had not been documented as part of people's care planning. We have made a recommendation about the provider considering end of life wishes as part of as people's care planning.

Audit systems were in place to monitor the standard of care people received. Staff, people and their relatives' views had been sought through regular contact, surveys and quality monitoring. Staff praised the registered manager and wider management team, they felt supported in their roles. People, their relatives and staff told us they would recommend the service.