Walker&Harrison Care

People were supported with their healthcare needs by staff who knew them well. People were encouraged to make their own decisions and staff understood the procedures for supporting people who lacked capacity. Staff needed more consistent support to carry out their roles; we made a recommendation about this.

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.

Staff were kind, caring and compassionate. Staff went the extra mile for people which led to positive outcomes in their care. One relative said, "All that I see is good, safe care. They [staff] stay longer than the planned time. They won't leave a situation where [person] would feel a loss of dignity or control."

People received care which met their individual needs, wishes and preferences. They were encouraged to make their own decisions. Some people were supported with social contact. Staff ensured people had access to information in an appropriate format and talked through information when needed. The service went above and beyond to deliver end of life care.

The management team were visible and responded to concerns quickly. Leaders were transparent. The values of the service reflected in the quality of care provided. Further improvements were needed to oversee governance arrangements. There were gaps in all audits reviewed. They needed to be widened in scope and further embedded to support continual improvement of the service.

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.

Right support: People received care and support which met their individual needs. People were encouraged to have a voice and make decisions about their care. People were supported to maintain relationships with those important to them.

Right care: People were at the centre of their care and received person-centred care which respected their privacy and dignity and allowed them maximum control over their lives.

Right culture: A diverse workforce was in place who demonstrated the ethos, values and behaviours to support the delivery of good care to people. The provider's diversity strategy was embedded and was used to contribute to the continual development of the service.