Lionsfield House

Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided. At the time of our inspection one person received support with their personal care.

The person felt safe living in their home. However, risks associated with the person's care and the environment, including fire safety, were not always identified, assessed and well-managed. Action was taken to address this. The prevention and control of infection was managed safely and in line with government guidance. Medicines were administered by trained staff. Shortfalls in the management of medicines had been identified. However, further monitoring was needed to ensure the remedial action taken to address the shortfalls were effective. Staff had been recruited safely and understood their responsibilities to keep people safe.

The person received the support they needed to access a range of health and social care professionals. The person was supported to have maximum choice and control of their life and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. Staff completed an induction and training to ensure they had the information, knowledge and skills to fulfil their role.

The person had formed positive relationships with staff. Staff knew the person well and were caring and respectful when providing support. However, some accepted practices within the home did not promote dignity and choice. Action was taken to address this. Confidential information was stored securely.

Assessments were completed to ensure people's diverse needs were known and could be met prior to moving to the home. Action was planned to ensure care records provided staff with all the information they

needed to deliver safe, personalised care. The person was supported to maintain relationships that were important to them and spent their time doing things they enjoyed. The service worked in partnership with other agencies to benefit the person. Staff understood their responsibilities in line with the with the provider's complaints procedure.

The registered manager was committed to addressing shortfalls identified during the inspection visit and driving forward improvements.