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
Hervey Road provides personal care to people with a learning disability in a supported living setting. People using the service lived in a medium sized house occupied by six people. They shared communal facilities such as kitchen and sitting areas. 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. At the time of our visit, the service supported six people with personal care needs.
People’s experience of using this service and what we found
The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.
Right Support: The model of care and the setting supported people’s independence, control and choice. People were supported to promote and maintain their independence. Staff worked with people to achieve their goals. Staff supported people in a way which was tailored to their individual needs.
Right Care: People received care which promoted their dignity, privacy and human rights. People told us they were treated with respect and kindness.
Right culture: The provider and staff understood the values of the service. They promoted a culture that encouraged inclusion, diversity and empowered people achieve positive outcomes.
Risks to people were assessed and management plans developed to reduce harm. Staff were supported to ensure they learned lessons from incidents and accidents. Staff knew the action to take to safeguard people from abuse. They had received training in safeguarding adults. There were enough staff available to support people safely. People’s medicines were managed safely. Staff followed infection control procedures to reduce the risk of the spread of infection.
People’s needs were assessed in line with best practice guidelines. Their nutritional and hydration needs were effectively met. People had access to various health and social care services when needed to maintain good health. The provider had systems in place that ensured people continued to receive an effective service when they move from one service to another.
Staff told us, and records showed they were supported in their roles. They and the registered manager understood their roles and responsibilities under the Mental Capacity Act (MCA) 2005. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service support this practice. People consented to their care before they were delivered.
People were involved and supported to express their views about the care and support they received. People were actively involved in the running of the service. Support plans reflected people’s individual needs and the support they received.
The provider had a complaints procedure in place which was available for people to review and follow if needed. People and their relatives knew how to complain if they were unhappy with the service. The provider carried out regular quality assurance checks to help drive service improvements. The provider worked in partnership with other organisations to develop 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
The last rating for the service under the previous provider was good (published on 20 September 2018).
Why we inspected
This service was registered with us under a new provider on 1 December 2020 and this is the first inspection since their new registration.
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.