Churchill House

This is the first inspection of the service. We reviewed all quality statements in safe, effective, caring, responsive and well-led. We rated the service overall as requires improvement.

We have assessed the service against ‘Right support, Right care, Right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted.

We found 3 breaches of regulation in relation to the safe care and treatment, consent to care and treatment and good governance.

Right Support; Staff were not always managing people’s medicines safely. People were not always being supported by staff in the least restrictive way possible. Records relating to consent and capacity required improving as these were not being completed as required. People were supported by enough staff during the day however, due to people having unique and complex health needs, we were not assured these needs were always being met by staff during the night. The provider made changes to these staffing arrangements so there was a member of staff on duty awake during the night shift to support people.

However, people were supported by staff who knew them well. Staff communicated to people in ways that met their needs. The manager confirmed they took action following incidents and accidents.

Right Care: People received care that was person-centred and that promoted people’s dignity and privacy. Staff recognised and responded to changes to individual’s needs. Staff were kind and caring and promoted people’s independence. We observed staff treating people with compassion and respect and supported people to make daily decisions about their care, support and activities.

Right Culture: The provider’s governance arrangements had identified some shortfalls found during this inspection although not all and the provider still needed to take action to make improvements to the service.

However, the provider sought people’s views through monthly care plan reviews. Staff and relative’s surveys were an opportunity to gain their feedback on the care and support provided by the service.

We have asked the provider for an action plan in response to the concerns found at this assessment.