Courage Limited

“We expect health and social care providers to guarantee autistic people and/or people with a learning disability 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/or autistic people. We considered this guidance where people using the service have a learning disability or are autistic.”

“We identified 3 breaches of the legal regulations in relation to safeguarding, safe care and treatment, and governance.”

“Systems and processes to safeguard people from the risk of abuse were not robust. We found incidents that met the threshold for a safeguarding concern were not always shared with the local authority and CQC.”

“Risk assessments were incomplete and did not include risks we identified during our assessment. We found no evidence people had been harmed. However, risk management of people’s care required improvement.”

“People’s medicines were not always administered safely. The systems in place for the management and oversight of the service were not always effective.”

“Improvements were required to recruitment and staff deployment. The registered manager had not ensured safe recruitment practices were being followed. Staff did not always attend care visits within the time they were expected.”

“Staff training records did not reflect staff had received all the training required to carry out their role.”