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
7 Beresford Buildings is a supported living service providing personal care to adults with learning disabilities, autism and mental health needs. People lived in their own accommodation. Some accommodation had a room for staff to use if people required 24-hour support. At the time of our inspection the service supported four people with personal care living in their own homes.
People’s experience of using this service and what we found
Right Support
¿ Staff were exceptional in their ability to support people to have the maximum possible choice, independence and control over their own lives. Staff used a variety of communication methods to suit each individual person, to maximise people’s understanding and decision-making abilities. People were empowered and supported to play an active role in maintaining their own health and wellbeing.
¿ Staff were passionately committed to delivering care in line with best practice guidance, and in finding the right approach for each individual person supported. Staff used creative ways which supported the delivery of high quality care and achieved excellent outcomes for people.
¿ Staff focused on people’s strengths and promoted what they could do, so people had a fulfilling and meaningful everyday life. People’s plans were developed using facts and information relevant to the person, to ensure that support provided was exceptionally effective for each individual.
¿ People were supported to pursue their interests and to achieve their aspirations and goals. Staff knew and understood people well and were responsive, supporting their aspirations to live a quality life of their choosing.
¿ The service specialised in Positive Behaviour Support (PBS). PBS is a person-centred framework for providing support to people with a learning disability, and/or autism, including those with mental health conditions, who have, or may be at risk of developing, behaviours that challenge. This framework had resulted in really positive outcomes for people.
Right Care
¿ People received kind and compassionate care. Staff protected and respected people’s privacy and dignity. Staff went the extra mile to understand and respond to people’s individual needs which resulted in excellent outcomes.
¿ Staff understood how to protect people from poor care and abuse. The service worked well with other agencies to do so. Staff had training on how to recognise and report abuse and they knew how to apply it.
¿ The service had enough appropriately skilled staff to meet people’s needs and keep them safe. Staff received excellent training which was designed around the person being supported. People received exemplary care, support and treatment because trained staff and specialists could meet their needs and wishes.
¿ People could communicate with staff and understand information given to them because staff supported them consistently and had an excellent understanding of their communication needs.
¿ People received care that supported their needs and aspirations, was focused on people having an excellent quality of life, and which suited each individual person.
Right culture
¿ People led inclusive and empowered lives because of the exceptional ethos, values, attitudes and behaviours of the management and staff. Staff and people were involved and contributed to the missions and aims of the service.
¿ People were supported by staff who understood best practice in relation to the wide range of strengths, impairments or sensitivities people with a learning disability and/or autistic people may have. This meant people received compassionate care that was tailored to their needs.
¿ Staff placed people’s wishes, needs and rights at the heart of everything they did. They were motivated and proud of the service and the positive difference they were making in people’s lives.
¿ The provider went out of their way to seek and obtain good quality feedback. This allowed them to evaluate the quality of support provided, involving the person, their families and other professionals as appropriate. Staff were continuously seeking to improve and enhance people’s quality of life.
¿ The service enabled people and those important to them to work with staff to develop the service. Staff valued and acted upon people’s views.
¿ People’s quality of life was enhanced by the service’s culture of improvement and inclusivity.
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 has moved address. The last rating for the service at the previous premises was good (published on 31 January 2019).
This service was registered with us at the current address on 2 August 2019 and this is the first inspection at the current premises.
Why we inspected
We undertook this inspection to assess that the service is applying the principles of right support right care right culture. This was a planned inspection to assess the standard of care delivered by the service and award a rating.
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.