We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and or who are autistic. About the service
HF Trust - Trelawney is a residential care home for up to 6 autistic people or people who have a learning disability. At the time of the inspection 6 people were living at the service. Accommodation was spread over 2 floors. There was a shared dining room/conservatory, living room and kitchen. A small bedroom was used to store medicines staff records and other records relating to the service. This room was also used as a staff sleep-in room.
People’s experience of using this service and what we found
Right Support
Staff supported people to be independent and have control over their own lives.
People were supported by staff to pursue their interests.
The service gave people care and support in a safe, clean, well equipped, well-furnished and well-maintained environment that met their physical needs.
People had a choice about their living environment and were able to personalise their rooms.
Staff supported people to take part in activities and pursue their interests in their local area.
Staff enabled people to access specialist health and social care support in the community.
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.
Right Care
Staff understood how to protect people from poor care and abuse. They had training on how to recognise and report abuse and knew how to apply it. However, we identified one occasion when a potential safeguarding concern had not been reported externally.
The service had staff vacancies and was using agency staff to meet people’s needs and keep them safe.
People’s care, treatment and support plans reflected their range of needs and this promoted their wellbeing and enjoyment of life.
People could take part in activities and pursue interests that were meaningful to them.
Staff and people cooperated to assess risks people might face. Where appropriate, staff encouraged and enabled people to take positive risks.
People received kind and compassionate care. Staff protected and respected people’s privacy and dignity. They understood and responded to their individual needs.
Right Culture:
Staff knew and understood people well and were responsive to their needs.
Staff evaluated the quality of support provided to people, involving the person, their families and other professionals as appropriate.
Policies did not guide services to ensure risks of a closed culture were minimised.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 18 June 2019).
Why we inspected
This inspection was prompted by a review of the information we held about the provider. We undertook a focused inspection to review the key questions of safe, effective and well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has remained good.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for HF Trust - Trelawney on our website at www.cqc.org.uk.
Recommendations
We have made a recommendation about the reporting of any safeguarding concerns.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.