Symbiosis House

The scheme has several properties which support people to live independently. Each property provides a shared kitchen area, shared lounge and dining space, a bedroom and bathroom.

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. The service was supporting one person with personal care at the time of the inspection.

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.

Risks to people were assessed and reviewed regularly. Measures had been put in place to address identified risk. Families told us they had been involved in the assessment process.

Relatives spoke positively about the service. A relative told us, "We are really happy with the care. We see [Family member] returning to the person they useD to be. We are very pleased with how things are."

People received support from staff who were trained in areas of care relevant to their needs. Relatives told us staff were kind and friendly and used their training appropriately to provide positive support.

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.

Based on our review of the service and records the service was able to demonstrate how they were meeting

the underpinning principles of Right support, right care, right culture. The values of the management and staff supported people to lead confident and inclusive lives, developing skills of independence.

There were sufficient suitably skilled staff to meet the needs of people safely. A robust recruitment and induction process was in place which staff felt prepared them for their role.

Staff had received training in the safe administration and handling of medicine. Their knowledge and practice had been observed and checked by senior staff.

Quality assurance processes were in place to identify areas requiring improvement. A service improvement plan was in place to support driving improvements and development.

Staff enjoyed their role and were passionate about providing good quality care. One staff member told us, "I enjoy helping and encouraging people to learn new skills and become independent." Another staff member said, "It is a nice place to work. Seeing people happy and settled is rewarding."