Summary 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.
About the service
Rose House is a residential care home providing support to three young adults at the time of our inspection. The service can support up to four people in one adapted building.
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.¿¿
People lead¿confident, inclusive¿and empowered¿lives because¿of the¿ethos, values,¿attitudes and behaviour¿of the management and staff.¿¿
The¿needs and¿quality of life¿of people formed the basis of the culture at the service. Staff understood their role¿in making sure that people were always put first. They provided¿care that was genuinely person centred.¿¿¿
The leadership of the service had worked hard to create a¿learning culture. Staff felt empowered to participate in their learning and suggest improvements.¿There was a¿transparent, open and honest culture¿between people, those important to them, staff and leaders. They all felt¿confident¿to raise concerns and complaints.
People¿were¿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.
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• People’s care and support was provided in a safe, clean, well equipped, well-furnished and well-maintained environment which met people's sensory and physical needs.¿¿
• People¿were protected¿from abuse and poor care. The¿service had¿enough¿appropriately skilled¿staff to meet¿people’s¿needs and keep them safe.¿¿¿
• People¿were¿supported to be independent and had control over their own lives.¿Their human rights were upheld.¿¿
• People received¿kind and compassionate care from staff who protected¿and respected¿their privacy and dignity and understood each person’s individual needs.¿People had¿their communication needs met and information was shared in a way that could be understood.¿
• People’s¿risks¿were assessed¿regularly¿in a¿person-centred¿way, people had opportunities for positive risk¿taking.¿People were involved in managing their own risks whenever possible.¿¿¿
• People who¿showed signs of distress 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.¿¿
• People made¿choices and¿took part in¿meaningful¿activities which were part of their¿planned care and support. Staff supported them to achieve their¿aspirations and¿goals.¿¿¿¿
• People’s care, treatment and support plans,¿reflected¿their sensory, cognitive and functioning needs.¿
• People received¿support that¿met their needs¿and aspirations.¿Support¿focused on¿people’s¿quality of life and¿followed¿best practice.¿Staff regularly evaluated¿the quality of¿support given, involving the person, their families and other professionals¿as appropriate.¿
• People received¿care, support and treatment from trained staff and specialists able to meet their needs and¿wishes.¿Managers ensured that staff¿had¿relevant¿training,¿regular¿supervision and appraisal.¿¿
• People and¿those important to them, including advocates,¿were actively 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.¿¿
• People were supported by staff who understood best practice in relation to learning disability and/or autism. Governance systems ensured people were kept safe and received a high quality of care and support in line with their personal needs.¿People and¿those important to them,¿worked with leaders¿to¿develop and improve¿the service.¿
Why we inspected
The inspection was prompted in part due to concerns received about behaviour management. A decision was made for us to inspect and examine those risks.
During this inspection we sought assurance that the service was 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.