Right Support, Right Care, Right Culture: A Practical Guide

What is Right support, right care, right culture?

Right support, right care, right culture is CQC's statutory guidance for services that support people with a learning disability and autistic people. CQC uses it when registering and assessing these services, alongside the Single Assessment Framework.

The three parts

• Right support — the model of care and setting maximise choice, control and independence. People live as part of their local community.
• Right care — care is person-centred and promotes dignity, privacy and human rights.
• Right culture — the ethos, values, attitudes and behaviours of leaders and staff ensure people lead confident, inclusive and empowered lives.

What inspectors look for

• People's own goals and aspirations shaping their support.
• Least restrictive practice, with restrictive interventions reduced and reviewed.
• Positive behaviour support that is person-centred, not controlling.
• Staff who know people well and are trained in learning disability and autism.
• Leaders who are visible and who challenge closed or institutional cultures.

Practical steps for providers

1. Review support plans to check they reflect people's own words and goals.
2. Audit restrictive practices and record why each is necessary.
3. Observe everyday interactions, not just records.
4. Ask people, families and advocates what is and is not working.
5. Make sure governance reports show culture, not only paperwork.

For independent support, see our supported living consultancy or book a free initial consultation.