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
Beaconsfield Villas is a supported living service providing personal care and support to people living in their own homes. People living at the service had a learning disability and / or autism and some required support with their mental health. At the time of inspection eight people were receiving a service from four locations. Five people received support within their homes at Beaconsfield Villas, and three were living independently in their own accommodation in the community. 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
People and relatives told us they were involved in their care and their support was planned to ensure people had a good quality of life. A relative told us, “It’s good care planning, we have regular reviews and family are involved.” People were supported to make choices about where they go, what they do and to follow their own interests. People were consistently positive about how they were supported. One person said, "I wouldn’t be sitting here talking to you without their support, I can’t express my thanks to the guys." People could access the local community and local health services; they regularly went on holiday and were supported to follow their dreams and aspirations. People were supported to maintain relationships with those who were important to them, they could visit people outside their home and have people visit them. The service gave people care and support in a safe, clean, well equipped, well-furnished and well-maintained environment. We were told, "I like the staff and I like having my own space. Staff make me feel supported."
Right Care
People received kind and compassionate care. Staff respected and promoted people’s dignity, privacy and human rights. Care and support plans were person-centred and focussed on people’s strengths and promoted independence. One person told us, "To stay independent, if I go to hospital, they [staff] come with me. I'm getting on and find it a struggle to walk to the train station, so they come with me." Another said, "What staff do well, is talking and listening to me. Things I fail at doing they help me. Sometimes they say they won't do something, 'we will do it together', it’s a team effort.” The service used a positive risk-taking approach when considering the support people needed to help keep them safe. People had unrestricted access to their homes which promoted privacy and dignity. The service worked to ensure that people's human rights were met and supported people to understand they have the same rights and responsibilities as other citizens. Staff understood how to protect people from poor care and abuse and the service worked well with other agencies to do so. Staff had training on how to recognise and report abuse and they knew how to apply it. People told us they felt safe.
Right Culture
Staff placed people's wishes, needs and rights at the heart of everything they did. The registered manager and staff understood the importance of relationships to people and made communication a priority. The registered manager and staff at the service demonstrated values, attitudes and behaviours which supported people to lead confident, inclusive and empowered lives. Staff had received specific training to meet the needs of people with a learning disability and / or autistic people and spoke with passion about people and the care and support they provided. Staff comments included, "When I see the positive reaction from people it's very fulfilling, when I see that my work makes a difference to people's lives." And, “I like having a job which is about helping people, every day is as fun as you make it.” The service promoted an open and transparent culture which encouraged people and their relatives to share their views and make a complaint. We saw staff fully involving people with activities and tasks of their choosing. People's quality of life was enhanced by the service's culture of improvement and inclusivity.
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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Why we inspected
We undertook this inspection to assess that the service is 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.