Clearbury

At the last inspection on 26 May and 5 June 2015 the service was rated Good overall. Safe was rated as Requires Improvement. Improvements were required in relation to the safe management of medicines. At this inspection we found improvements had been made. However we have made a recommendation to ensure good practice is maintained. At this inspection we found the service remained Good overall. Why the service is rated good:

People continued to receive a safe service. Staff knew their responsibilities to protect people from harm and abuse. Risks associated with people's care and support were assessed to help them to remain safe. People received their medicines safely; however we have made a recommendation to promote good practice. Sufficient staff were available at all times to meet people's needs. Staff were recruited safely to ensure staff were suitable to work with people.

People were cared for and supported by staff who had received training on how to support the person to meet their needs. The registered manager and management team had a good understanding of their responsibilities in relation to the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. People were supported to eat and drink enough as to ensure they maintained a balanced diet and referrals to health and social care services was made when required.

People were supported by staff who knew them well and who were kind and compassionate. People's dignity and privacy was maintained and staff communicated with people in ways that were important to them. People were supported to develop and maintain their skills and were involved in decisions about their support where they could.

People received responsive and personalised care that was based on their needs, preferences and interests. Their support plans were focused on them as individuals and staff had up to date guidance about each person's preferences and support requirements. People had opportunities to take part in a variety of activities they enjoyed.

There was good management oversight of the service. The provider had systems in place to monitor and provide good care and these were reviewed on a regular basis. Records were well organised, up to date and stored confidentially.

The five questions we ask about services and what we found