Everready Health and Social Care Solutions

At the time of the inspection, the location did not care or support for anyone with a learning disability or an autistic person. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group.

Right Support: 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 support this practice.

Staff focused on people's strengths and promoted what they could do, so people had a fulfilling and meaningful everyday life.

Right Care: People received kind and compassionate care. Staff protected and respected people's privacy and dignity. They understood and responded to their individual needs.

Right Culture: Staff knew and understood people well and were responsive, supporting their aspirations to live a quality life of their choosing.

The provider's governance was ineffective to identify the shortfalls found during this inspection. People could not be assured staff would have the appropriate skills to support them with their prescribed medicines. This is because there was lack of evidence medicines competency assessments were carried out by a competent person.

Where a needs assessment was not carried out prior to people receiving a service, this could compromise the care and support they received. There was no emphasis focused on equality and diversity during the assessment and care planning and this meant people needs may not be met the way they wanted. Relevant official documents were not accessible, and this could compromise people's expressed wishes. We found

where a person was receiving end of life care, staff did not have access to an end-of-life care plan, to ensure the person's wishes would be met. We have recommended that this should be put in place.

People could not be confident their communication needs would be met due to the lack of understanding of the Accessible Information Standards.

People were cared for by sufficient numbers of staff who had been recruited safely.

Risk assessments were in place to promote people's independence whilst ensuring their safety. Staff were skilled and knowledgeable in reducing the risk of people contracting avoidable infections. People were protected from potential abuse because staff knew how to recognise abuse and how to safeguard them.

People could be confident they would be supported to eat and drink sufficient amounts and where needed received assistance to access a speech and language therapist or dietician for additional support. People were supported to access relevant healthcare services to ensure their needs were met.

People were supported by staff who had received training and who were supported in their role by the registered manager.

Routine welfare calls were made to people to obtain their views in relation to the service they receive. Staff felt supported by the registered manager who worked with other agencies to ensure people's needs were met.