Advanced Medcare 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. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.

Risks to people's care were assessed and actions put in place to manage them. Incidents were analysed and actions taken, when required. The provider was not always recording when equipment used to move people had passed the relevant safety checks. Most areas of staff recruitment were safe, however, we reviewed evidence confirming some staff had started working before the required DBS checks had been completed. Medication was managed safely.

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 received support to maintain good nutrition and hydration and their healthcare needs were understood and met. The provider kept in close contact with relevant healthcare professionals.

The provider was caring for people with complex health conditions and some required end of life care. Care plans were detailed, and person centred. Staff knew people well and had the necessary skills, training and support to carrying out their jobs safely.

The service had not received any complaints. People and family members were confident that any concerns or complaints would be listened to and acted upon quickly by the registered manager.

We received very positive feedback about the registered manager being approachable and responsive. There was a clear vision about the quality of care the provided. The registered manager and nominated individual told us about their plans to further develop the service. The nominated individual is responsible for supervising the management of the service on behalf of the provider.