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
Keyline Care Supported Living is a supported living service providing personal care to one person in their own home.
People’s experience of using this service and what we found
Right Support
Staff supported the person to have the maximum possible choice, control and independence and they had control over their own lives. The person was supported by staff to pursue their interests. Staff supported the person to achieve their aspirations and goals.
The service worked with the person to plan for when they experienced periods of distress so that their freedoms were restricted only if there was no alternative. Staff followed best practice and guidance to avoid the use of unnecessary restraint. The service recorded when staff restrained the person, and staff learned from those incidents and how they might be avoided or reduced.
The person had a choice about their living environment and was able to personalise their home. Staff supported the person to take part in activities and pursue their interests in their local area. Staff supported the person to make decisions following best practice in decision-making. Staff communicated with the person in ways that met their needs.
Right Care
The person received kind and compassionate care. Staff protected and respected the person’s privacy and dignity. They understood and responded to their individual needs. The service had enough appropriately skilled staff to meet the person’s needs and keep them safe.
The person’s care, treatment and support plans reflected their range of needs and this promoted their wellbeing and enjoyment of life. The person could communicate with staff and understand information given to them because staff supported them consistently and understood their individual communication needs.
The person received care that supported their needs and aspirations, was focused on their quality of life, and followed best practice. The person could take part in activities and pursue interests that were tailored to them. The service gave the person opportunities to try new activities that enhanced and enriched their life.
Right culture
The person led an inclusive and empowered life because of the ethos, values, attitudes and behaviours of the management and staff. The person received good quality care, support and treatment because trained staff and specialists could meet their needs and wishes.
Staff knew and understood the person well and were responsive, supporting their aspirations to live a quality life of their choosing. The person and those important to them, were involved in planning their care.
Staff ensured risks of a closed culture were minimised so that the person received support based on transparency, respect and inclusivity.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Why we inspected
The inspection was prompted in part due to concerns received about the high number of incidents that had resulted in some form of restraint being used by staff.
Additionally, we undertook this inspection to assess that the service was applying the principles of Right support, Right care, Right culture.
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.