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
8 Spring Mount is a residential care home providing personal care to six people with learning disabilities and/or Autism and sensory impairment at the time of the inspection. The service can support up to six people.
People’s experience of using this service and what we found
Right Support
The service supported people to have the maximum possible choice, control and independence over their own lives. However, people were not always supported to pursue their interests, aspirations and plan goals for the future.
We have made a recommendation regarding person centred planning.
The service gave people care and support in a safe, clean and homely environment that met their sensory and physical needs. The communal areas were modern but not personalised. However, people had the option of personalising their bedrooms to reflect their preferences. .
The service adopted least restrictive practices supported by appropriate training underpinned by a positive behaviour approach. Each person had a positive behavioural plan that described de-escalation and support strategies that staff had to follow to respond to distress. Staff helped people to make decisions using methods that reflected people’s communication styles and preferences.
People received the medicines they needed to support their health needs. The registered manager closely monitored the use of any ‘when required’ (known as PRN) medicines prescribed to manage severe distress to ensure they were used appropriately and only as a last resort.
Right Care
The service had enough appropriately skilled staff to meet people’s needs and keep them safe. The service tried to match staff with people’s preferences to enhance their experiences. Staff knew people’s individual communication styles well. They knew how to interpret their signs, gestures, behaviours and body language. They ensured people had access to information in formats best suited to their sensory needs.
Staff knew people well and responded to them appropriately and sensitively. People’s care, treatment and support plans reflected their range of needs and promoted their wellbeing. People took part in activities and pursued interests tailored to them.
Right Culture
The service had a positive culture that focused on person-centred care however, meaningful outcomes for people were not always planned or recorded.
We have made a recommendation about person centred planning and outcomes.
Staff understood the values of the service to keep people safe and well and give them the best care they could in the least restrictive way. Staff knew and understood people well. They got to know people as unique individuals and personalities regarding this as a key element of person-centred care.
Rating at last inspection
The last rating for this service under the previous provider was Good (published 26 February 2018).
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.