Updated 3 October 2024
This assessment took place between 8 October 2024 and 5 December 2024. We completed this assessment due to concerns we had received in relation to the safety of people using the service. We investigated these concerns but found no related risk. This assessment looked at all five key questions, Safe, Effective, Caring, Responsive and Well-led. We have assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, and independence. The provider was previously in breach of the legal regulation in relation to safe care and treatment, safe recruitment, consent, and good governance. Improvements were found at this assessment and the provider was no longer in breach of these regulations. People received safe and compassionate care by staff and leaders that embraced change and fostered a positive learning culture. However, the provider’s processes did not always ensure regulatory concerns were responded to in a constructive manner. Care plans and risk assessments were in place to provide staff with information and guidance on how to meet people’s needs, but sometimes these documents were not always up to date. People were kept safe by effective safeguarding systems. People were supported in a clean and pleasant living environment, but there were some areas of the kitchen where improvements in cleanliness were required. The registered manager was passionate about supporting people to live healthier lives. Joyful and friendly staff were available to support people with a range of activities. Staff well-being was valued and well supported. People were supported to access health care services in a timely manner. The culture at the service was inclusive and fair. Robust governance systems were in place to ensure service oversight; however, they were not always used effectively to ensure accurate record keeping.