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 Care Quality Commission (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
Rugby Avenue is a supported living service for people with learning disabilities and autistic people. On the day of our inspection the service provided support to three people. The service has capacity to provide support to five people.
People’s experience of using this service and what we found
Right Support: The model of care and setting maximises people’s choice, control and Independence; for example, people who used the service were consulted where and whom they wanted to live with. The service had a strong focus of supporting people to gain greater independence and the service sought support from external professionals to make this possible. People’s support was tailored around their abilities and skills to maximise their wellbeing and staff supported them to achieve their goals and dreams.
Right Care: Care was person-centred and promoted people’s dignity, privacy and human rights. People who used the service received dignified care and support. Relatives told us that they were very happy with the care people received and that the service had a good understanding of people’s needs around behaviours autistic people and people with learning disabilities may display. People and relatives were fully involved in their care and care was planned to ensure people received the best possible outcomes.
Right culture: The ethos, values, attitudes and behaviours of leaders and care staff ensured people using services led confident, inclusive and empowered lives. The culture and ethos of the service was to empower people to become more independent. One care staff told us, “The purpose of working here is supporting people to have as much choice as possible and live the best fulfilling life, they can.”
People were protected from the risk of harm and abuse. There were effective systems and processes in place to minimise risks to people. Risks had been identified, assessed and reviewed. Care staff knew how to identify and report concerns. They had been recruited safely and showed good knowledge and skills in relevant areas including medicines administration and infection control. They demonstrated dignity, respect and compassion in interactions with people.
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 service had a range of quality assurance processes, including systems necessary to maintain safe environments. The manager and staff ensured policies and procedures met current legislation and were up to date. Relatives told us they were asked for their views about the quality of the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update: The last rating for the service under the previous provider was good, (published on 19 September 2018).
Why we inspected
We undertook this inspection to assess that the service is applying the principles of Right support right care right culture. This was a planned comprehensive 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.