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 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
New Fern is a residential care home providing personal care to people with a learning disability and autism. The service can support up to six people. At the time of our inspection there were three people living in the home.
People’s experience of using this service and what we found
Right Support
Staff focused on people’s strengths and promoted what they could do, so people had a fulfilling and meaningful everyday life. The provider worked with people to plan for when they experienced periods of distress, so their freedoms were restricted only if there was no alternative. People were supported in a safe, clean environment which met their sensory and physical needs. The provider made reasonable adjustments for people to include them in discussions about how they received support. Staff supported people to take part in their hobbies and interests in the local area and to maintain contact with family and friends.
Right Care
Staff promoted equality and diversity when supporting people and understood people’s cultural and emotional needs. People received kind and compassionate support. Staff protected and respected people’s privacy and dignity. Staff understood how to protect people from poor care and abuse. The provider had enough appropriately skilled staff to meet people’s needs and keep them safe. People who had individual ways of communicating, using body language, sounds, Makaton (a form of sign language), pictures and symbols could interact comfortably with staff and health professionals because staff had the necessary skills to understand and support them.
Right culture
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 autism may have. Staff turnover was very low. This meant people received consistent support from staff who knew them well. Staff placed people’s wishes, needs and rights at the heart of everything they did. Managers evaluated the quality of support provided to people, involving the person, their families and other professionals as appropriate. Managers ensured risks of a closed culture were minimised, so people received support based on transparency, respect and inclusivity.
Medicines were managed safely, and infection prevention and control processes kept people safe. Staff worked with health professionals to support people’s health needs. People’s capacity to consent was assessed in line with legislation, and concerns about support were dealt with effectively. There was a clear vision of quality service provision and proactive support from external agencies to meet people’s 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 26 November 2020 and this is the first inspection.
Why we inspected
We undertook this inspection to assess the provider was 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.