Rather than just highlighting dire care for learning disabled and autistic people, I'm going to do an advent calendar, well advent hashtag #CQCAdvent in which I'll share a quote daily and link to a service that CQC have rated outstanding in the last two years.

There aren't enough to rely just on this year (only 17 so far - they're all listed here https://www.georgejulian.co.uk/curated-topics/cqc-outstanding-care-for-learning-disabled-and-autistic-people/)

Please boost and follow the hashtag for some snippets of excellence #LearningDisability #Autism #HumanRights

georgejulian.co.uk » CQC outstanding care for learning disabled and autistic people

Rated outstanding in 2022 November Home from Home Care Ltd, The Old Hall, Fiskerton West Northamptonshire Council, Shared Lives Service Hilton Nursing Partners Ltd, Ashford Avenue South East Services, Kent September LD Care Ltd, Hounslow Guyatt House Care, Cambridge Complete Care and Enablement Services, Oldham August Hand in Hands Ltd, Hand in Hands, Hertfordshire Positive […]

Day 1 #CQCAdvent

Each member of staff we spoke with was positive about the high degree of support they got from the senior leadership team.

"I think if I didn't get the level of support I do, then this job would be really difficult to sustain"

"The service is well managed. It has a very good managerial structure in place where everyone, staff and service users alike, is appreciated and valued for their contribution"

Accordia Supported Living https://www.cqc.org.uk/location/1-7699543356

#LearningDisability

Accordia Supported Living Services - Care Quality Commission

Day 2 #CQCAdvent

Staff ensured that people had maximum freedom in their own homes, such as access to kitchens and areas to socialise in.

Risks in relation to people's support were exceptionally well managed to allow people to live their lives freely as they chose, sometimes for the first time in their lives.

[Will thread more]

Avenues South East Services, Kent https://api.cqc.org.uk/public/v1/reports/573b10d1-d525-4be9-8554-b2f2bfaa0dc9?20221119130000 #LearningDisability #Autism #Freedom #HumanRights #CQCOutstanding

People who had previously lived restrictive lives, due to the perception of high risk, were being supported to live independently and safely in their communities.

Staff understood how to maintain and improve people's independence and offered people a meaningful, enriching and varied life.

One relative told us, "The standard of loving care is unbelievable; all exceptionally good."

A second relative said, "The staff were phenomenal. They are almost family as they are so loving and caring."

Staff had achieved outstanding outcomes for #autistic people by supporting medical professionals to reduce or stop a reliance on medicines and explore alternative ways to help people manage their needs.

The provider identified a previously unrecognised negative impact on a person's wellbeing due to the side effect of an anti-psychotic medicine.

Staff worked closely with the psychiatrist to develop a support plan and provide additional staffing to allow the person to reduce the use of this medicine.

This improved the person's wellbeing in other areas of their life.

Only one antipsychotic medicine remained for the person, so the staff team then worked with the psychiatrist to remove this, resulting in the autistic person being free of all antipsychotic medicines and their case closed to psychiatry services after decades of treatment.

The person was able to live successfully in their community with a reduced support package.

[There's more]

The provider worked with professionals to develop gradual plans to reduce restrictions and give people more freedom.

This took time and required a very consistent approach by all staff and a strong managerial presence.

#Autism #LearningDisability #SocialCare #CQCAdvent #CQCOutstanding

As a result, people were able to be more independent in their new homes.

One staff said of three people,

"They weren't allowed in the kitchen at their previous place, and now they make pizzas.

Basically, anything they can do for themselves now they do it.

They vacuum, they clean the floors, they are just involved in everything."

[As they should be. Living a full life in their own home. More joy tomorrow] #CQCAdvent #CQCOutstanding #HumanRights #Autism #Autistic #LearningDisability