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
1 The Avenue Knaresborough, is a residential care home providing personal and nursing care to four people at the time of the inspection. The service can support up to five people. 1 The Avenue Knaresborough is a detached house with bedrooms and shared communal spaces across three floors.
People’s experience of using this service and what we found
Right Support
¿ The service (or staff) supported people to have the maximum possible choice, control and independence be independent and they had control over their own lives.
¿ People were supported by staff to pursue their interests, take part in activities and pursue their interests in their local area and interact with people who had shared interests.
¿ Staff enabled people to access specialist health and social care support in the community and play an active role in maintaining their own health and wellbeing.
¿ Staff communicated with people in ways that met their needs.
¿ People and their family members told us they were happy with the care they received and felt safe.
Right Care
¿ People received kind and compassionate care.
¿ Staff protected and respected people’s privacy and dignity. They understood and responded to their individual needs.
¿The service had enough appropriately skilled staff to meet people’s needs and keep them safe.
¿ People could communicate with staff and understand information given to them because staff supported them consistently and understood their individual communication needs.
We witnessed effective communication preventing emotional distress.
¿ People who had individual ways of communicating, using body language, sounds, pictures and specific sign language could interact comfortably with staff and others involved in their care and support because staff had the necessary skills to understand them.
¿ A relative told us, “They’re very happy there, if they wasn’t happy, I would speak up.
It’s a lovely place and a well-run house. They have their own life and own way of life; staff look after them and help but won’t carry them. They know where we are and can get in touch whenever. They’re happy and staff are very good”.
Right Culture
¿ People led inclusive and empowered lives because of the ethos, values, attitudes and behaviours of the management and staff.
¿ People received good quality care and support because trained staff and specialists could meet their needs and wishes.
¿ People were supported by staff who understood best practice in relation to the wide range of strengths, impairments or sensitivities of people with a learning disability and/or autistic people may have. This meant people received compassionate and empowering care that was tailored to their needs.
¿ Staff knew and understood people well and were responsive, supporting their aspirations to live a quality life of their choosing.
¿ The change in provider had impacted the availability of some day services. The provider had introduced a range of activities and social events to support with these changes and offer alternatives.
¿ Staff turnover was very low, which supported people to receive consistent care from staff who knew them well.
¿ Staff placed people’s wishes, needs and rights at the heart of everything they did. People and those important to them, were involved in planning their care.
¿ One staff member told us, “I’m very happy with the provider, I see myself being here a long time, it’s like a big family, the home is a family and people see the staff as their family. The staff are really dedicated to the people they support, and it makes me so proud.”
Rating at last inspection
The last rating for the service under the previous provider, Henshaw's Society for Blind People was good, (published on 8 November 2017).
For more details, please see the full report which is on the Care Quality Commission’s (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. We also inspected this service to provide the new provider with a rating.
The overall rating for the service has remained the same based on the findings of this inspection.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.