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
Positive Support For You is a ‘supported living’ service providing personal care to people with complex needs living in bungalows in ‘supported living’ settings. The service was supporting three people with personal care at the time of our inspection.
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
¿ Staff supported people to pursue their interests and achieve their aspirations and goals. People left their homes regularly in their cars and enjoyed spending time how they wanted.
¿ People were supported to upkeep their homes and to develop skills.
¿ People were supported to access specialist health and social care support. They had experienced good health and wellbeing outcomes as a result.
¿ Staff worked hard to ensure people were not unnecessarily restricted. The service’s reliance on and commitment to Positive Behaviour Support (PBS) meant people experienced improved health and wellbeing outcomes. PBS is a person-centred framework for providing support to people with a learning disability, and/or autism, including those with mental health conditions, who have, or may be at risk of developing, behaviours that challenge.
¿ Staff supported people to take their medicines in their preferred way.
¿ People had been supported to personalise their homes with photographs and favourite items.
Right Care
¿ The service had enough appropriately skilled staff to meet people’s needs. People were safe and protected from social isolation. They followed their own interests at their own pace.
¿ Staff understood people’s individual ways of communicating such as using body language or sounds.
¿ People’s support plans and risk assessments reflected their preferences and needs.
¿ People received kind, patient and compassionate care. Staff respected people’s privacy and dignity.
¿ Staff worked well with other agencies to protect people from risks. Staff had relevant training on safeguarding and how to recognise and report abuse.
Right culture
¿ People were supported to lead empowered lives. The ethos, values, attitudes and behaviours of the management and staff were in line with the key principles of guidance such as Right Support, Right Care, Right Culture and STOMP (Stopping over medication of people with a learning disability, autism, or both). Staff felt well supported by the provider and could raise any issues.
¿ Audits and analysis of core information took place regularly and contributed to improvements in practice and outcomes for people.
¿ People and those important to them were involved in planning their care. Care plans were reviewed regularly.
¿ Staff knew people extremely well and were responsive to their support needs.
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 18 February 2021 and this is the first inspection.
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 inspection based on when the service first registered with us.
Follow up
We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.