During an assessment under our new approach
The assessment was completed in line with Right Care Right Support Right Culture. 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.
Right support: Safeguarding procedures were in place and staff knew how to report concerns. Care plans contained relevant, up to date information. People received their medicines as prescribed and medicine protocols were in place. Staff were recruited safely and had completed mandatory training. Right care: Staff knew people and their needs well. People and, where appropriate, their relatives were involved in reviewing people’s care needs. Mental capacity assessments and best interest documentation had not always been recorded clearly, to demonstrate people, their relatives and advocates were involved in the decision-making process. However, we observed staff offering people choices and supporting people in a way that promoted their independence. Right culture: Quality assurance measures ensured a culture of improvement. Staff meetings and supervision took place. Audits were not always effective in identifying issues with mental capacity and best interest documentation.
At the time of the assessment, 13 people were receiving personal care.