Adele Cottage provides care and support for up to two people in a single adapted building. The service specialised in supporting autistic people, people who have learning disabilities, and people who have issues with the misuse of drugs or alcohol. At the time of our inspection there was one person living in the service.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 guidance CQC follows to make assessments and judgements about services supporting people with a learning disability or autistic people.
People’s experience of using this service and what we found
The service could show how they met the principles of Right support, Right care, Right culture.
The person was supported to lead a confident, inclusive and empowered life because of the ethos, values, attitudes and behaviours of the management and staff. The needs and quality of life of the person being supported formed the basis of the culture at the service. Staff understood their role in making sure the person was always put first. They provided care that was genuinely person centred.
Staff felt empowered to suggest improvements and question poor practice. There was a transparent and open and honest culture between people, those important to them, staff and leaders. They all felt confident to raise concerns and complaints if necessary.
The person being supported was able 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.¿
¿ The person's care and support were provided in a safe, clean, well-furnished and well-maintained environment which met their sensory and physical needs.
¿ The person was protected from abuse and poor care. The service had enough appropriately skilled staff to meet the person's needs and keep them safe.
¿ The person was supported to be as independent as possible and had control over their own life. Their human rights were upheld.
¿ The person received kind and compassionate care from staff who protected and respected their privacy and dignity; and understood the person’s individual needs. Their communication needs were met, and information was shared in a way that could be understood.
¿ The person's individual risks were assessed regularly in a person-centred way, and they had opportunities for positive risk taking. The person was involved in managing their own risks whenever possible.
¿ The person had proactive plans in place to reduce the need for restrictive practices. Systems were in place to report and learn from any incidents where restrictive practices were used.
¿ The person made choices and took part in meaningful activities which were part of their planned care and support. Staff supported them to work towards achieving their aspirations and goals.
¿ The person's individual care, treatment and support plans, reflected their sensory, cognitive and functioning needs.
¿ The person received support to meet their needs and work towards achieving their aspirations. Support focused on the person's quality of life and followed best practice. Staff regularly evaluated the quality of support given, involving the person and other professionals as appropriate.
¿ The person received care, support and treatment from trained staff and specialists able to meet their needs and wishes. The provider ensured that staff had relevant training, regular supervision and appraisal.
¿ The person, and those important to them, were involved in planning their care. Where needed, a multidisciplinary team worked well together to provide the planned care.
¿ Staff understood their roles and responsibilities under the Human Rights Act 1998, Equality Act 2010, Mental Health Act 1983 and the Mental Capacity Act 2005.
¿The person was supported by staff who understood best practice in relation to relevant specific genetic conditions, learning disability and/or autism.
¿ The provider’s governance systems ensured people were kept safe and received a high quality of care and support in line with their personal needs.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 28 September 2020 and this is the first inspection.
Why we inspected
This was a planned comprehensive inspection to assess how the service was operating and to rate the service in respect of the Safe, Effective, Caring, Responsive and Well-led key questions. We undertook this inspection to provide assurance that the service is applying the principles of Right support, Right care, Right culture.
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.
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.