Learning Disabilities & Autism, Bespoke Health & Social Care received a Good rating across all five key questions at its first CQC inspection, supporting 9 people with learning disabilities and autism in their own homes. The service demonstrated strong person-centred practice, effective risk management, low staff turnover, and robust governance with no failure themes identified.
Strengths
· Staff knew people well and low staff turnover provided consistent, person-centred support for people with learning disabilities and autism.
· Robust risk assessment and support planning minimised restrictions on people's freedom while maintaining safety.
· Medicines were managed safely with regular multi-disciplinary review including 'as required' medicines.
· Staff used a variety of communication techniques (social stories, picture cards, individual communication plans) tailored to each person.
· Strong incident learning culture with debrief meetings and lessons shared following any use of restrictive practice.
Quality-Statement breakdown (26)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Staff support: induction, training, skills and experienceGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Staff working with other agencies to provide consistent, effective, timely careGood
effective: Supporting people to live healthier lives, access healthcare services and supportGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesGood
responsive: Meeting people's communication needsGood
responsive: Supporting people to develop and maintain relationships to avoid social isolationGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportNot rated
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: How the provider understands and acts on the duty of candourGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsGood
well-led: Engaging and involving people using the service, the public and staffGood
well-led: Continuous learning and improving careGood