We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.About the service
Spencer Place is a residential care home providing accommodation and personal care to up to 10 people, with support needs primarily related to their mental health. Some people living at the service were also autistic or had a mild learning disability. At the time of the inspection eight people were living at the care home. Six people were living in the main house with two people accommodated in a separate building in the grounds, referred to as the annexes. Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided.
People’s experience of using this service and what we found
Right Support
People and relatives told us they were involved in their care and support was planned to ensure people had a good quality of life and were working toward recovery. People were positive about how they were supported. One person told us, “With this set up staff are around 24 hours a day and I can have support whenever I need it.” People went out to the local community and accessed health services; they regularly went on day trips and were supported to meet their goals and aspirations. People were supported to maintain relationships with those who were important to them, they could visit people outside their home and have people visit them. The service provided care and support in a safe, clean, well equipped, well-furnished and well-maintained environment.
Right Care
People received kind and compassionate care. Staff respected and promoted people's dignity, privacy and human rights. People had unrestricted access to their rooms which promoted privacy and dignity. Care plans were holistic, person-centred, focussed on people's strengths and promoted independence. People, health and care professionals and relatives spoke positively about the care people received. One person told us, "I have struggles inside, they [staff] work with you most of the time to help you get through each day.” The service used a positive risk-taking approach when considering the support people needed to help keep them safe. People told us they felt safe and worked with staff to develop their own risk management strategies. Staff knew people’s risks, how to manage them. People were protected from the risk of abuse by staff who knew how to recognise and report concerns.
Right culture
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. The managers and staff demonstrated values, attitudes and behaviours which supported people to build confident, inclusive and empowered lives. Staff had received specific training to meet the needs of people living with a mental health condition and the range of strengths and impairments people with a learning disability and autistic people may have. Staff spoke with passion about people and the care and support they provided. One staff member told us, “Seeing people smile at the end of the day knowing that you've helped achieve that, that's why I do this job.” The service promoted an open and transparent culture which encouraged people and their relatives to share their views and make a complaint. People's quality of life was enhanced by the service's culture of openness, inclusivity and working well with external agencies and health professionals.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Why we inspected
This service was registered with us on 30 March 2021 and this is the first inspection.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.