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
Lisieux House is a residential care home providing accommodation and personal care for up to 12 people with a learning disability and autistic people. At the time of the inspection,12 people were living at the home.
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
Lisieux House does not fully meet the current guidance on small, ordinary homes forming part of a local community. The provider told us about their plans to address this and discussions were taking place with people and families when we inspected. People regularly accessed local facilities and were supported by staff to pursue their interests. People told us they felt safe at Lisieux House. One person told us, “I do things that I like to do, the staff help me.” Staff knew people well and knew how to manage any risks and report any concerns. There were sufficient numbers of staff to meet people's needs. Medicines were managed in a safe way.
Right Care
People was supported by a caring and kind staff. Staff knew people very well and knew their likes and dislikes. People were supported and encouraged to become more independent, where possible. A relative told us, “I have to say it is the best home [person’s name] has lived in, they have blossomed, we could not have wished for anything better.”
Right Culture
The registered manager promoted a positive culture and led by example. Staff told us they received the support they needed to carry out their role. A staff member told us, “It has been a tough time with the pandemic but I feel there is so much support and energy to get things right for people. I think there is such a commitment from the organisation and I see improvements all the time, it’s a really positive place to work.” Relatives spoke highly of the staff team and the care of their family members. Systems were in place, so the home remained safe and effective. People was 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.
Why we inspected
We undertook this inspection to assess that the service is applying the principles of Right support right care right culture. We also inspected because Lisieux Trust Limited has applied to change the name of their legal entity and register as a company from that of a registered charity. This means they are registered now as a new service and we needed to inspect and rate the service.
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. This included checking the provider was meeting COVID-19 vaccination requirements.
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.