Longlands

We have made a recommendation to review staff training and understanding in the principles of the Mental Capacity Act. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests. However, the policies and systems in the service did not support this practice.

Risks assessments required additional information to ensure staff understood the risks, and mitigating strategies were followed. Records of tasks completed to mitigate risks were not consistently recorded.

Care plans required improving to ensure all of the information was detailed and up to date. Records of support offered was not consistently completed to evidence staff had followed care plans. Actions from health appointments or health concerns were not consistently recorded.

People, staff and relatives told us they were not always asked for feedback on the service. We received mixed views on information sharing.

The provider was in the process of recruiting new staff. However, people, relatives and staff had concerns over the number of temporary (agency) staff used. The use of agency staff impacted on the recording of support offered to people, information being shared with relatives and how well staff knew people.

People lived in a homely, clean environment. Bedrooms were personalised and people had access to multiple communal rooms. People were able to choose to take part in activities, stay in their room or go into a communal room for company.

People were supported to access their medicines safely. Staff were trained and understood the best practice guidance on administering medicines. Medicine records were appropriately completed.

People were protected against abuse. Staff were trained and understood how to recognise and report any potential abuse. Injuries were recorded and actions taken when appropriate.

People were supported by staff who showed a genuine interest in them. People told us staff were kind and

caring. Staff promoted people's privacy, dignity and independence.

People were supported with any communication needs they have. Care plans included how a person communicated and any aids that were required to facilitate effective communication.

People were supported to stay in contact with significant people in their lives. Visitors were welcomed into the home.