Royton Limited

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.

Staff recruitment procedures needed to be embedded to ensure all staff had the correct checks to work with vulnerable people and children.

People were protected from potential abuse. Staff received training and understood the signs and symptoms to be aware of. Records were completed if an injury was identified.

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.

Right Care: People were supported by staff who knew them well and had the skills and knowledge to support them safely. Staff arrived on time and stayed the allocated amount of time. People had a consistent staff team.

Staff wore appropriate personal protective equipment to protect people from risks of infections.

Care plans held person-centred information within them to ensure staff had the information to support people in line with their assessed needs and individual wishes.

People's health needs were assessed. Referrals were made as appropriate to healthcare professionals. People were supported with oral care.

Right Culture: Systems and processes to ensure good management oversight required embedding into practice. The registered manager was open and transparent throughout the inspection and implemented changes based on feedback.

People and relatives described staff as "lovely, kind, caring, amazing." Staff were committed to offering good quality, personalised care. Relatives told us staff always treated people with dignity and respect.

People's communication needs were recorded and detailed. This supported staff to communicate effectivity with people.

Staff felt supported in their roles. People, relatives and staff were asked to feedback on the service.