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.About the service
The Larches is a residential care home providing personal care to up to five people. The service provides specialist care and support to individuals with a diagnosis of Prader-Willi Syndrome. At the time of our inspection there were three people using the service. The building is an adapted house in a residential area.
People’s experience of using this service and what we found
The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.
Right support: People were very happy with living at The Larches. They benefitted from a good quality, well maintained environment, with lovely grounds.
There were sufficient staff to support people with their care needs, but more importantly with their psychological wellbeing throughout their day. The keyworker system in place was used to good effect to enable people to relate to one key staff member. People were able to contribute to their own care records and support in a meaningful way.
People had a lifestyle that allowed them to lead the best life they could. The people were able to chose interesting opportunities within the community. People had their own interests and were enabled to follow these.
Right care: People were able to contribute to the weekly meeting that was used to discuss the running of the service. The menu choices were discussed and agreed for the following week. People were able to take part in cooking and had access to all parts of their home except the walk-in larder that was kept locked to maintain people’s safety.
Staff had received good training and understood the condition of Prader-Willi Syndrome to enable them to support and respond to people showing dignity, respect and promoting choice in an agreed framework that was not overwhelming.
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 culture: The knowledge of staff, managers and owner of the condition Prada-Willi Syndrome, means they can understand how best to motivate and support people to lead confident, inclusive and empowered lives to the best of each persons ability.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 8 January 2021 and this is the first inspection.
Why we inspected
We undertook this inspection to give it a rating.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for The Larches on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.