Blythson Limited - 3 Ashley Avenue

People's experience of using this service: ●Since the last inspection the provider had made the improvements we asked them to make, by revising care plan and risk documentation and improving recording around accidents and incidents and mental capacity. Notifications were made to CQC appropriately and the previous inspection rating displayed in the service and on the provider website. ● The provider and staff were responsive to people's needs, they provided a caring and proactive environment, working continuously to make improvements to the service and provide people with high quality care. ● The service was well thought of by visiting professionals and relatives. ● Staff were well trained and learned about the values that underpinned the service, they demonstrated a detailed knowledge of the people they supported and over time had developed trusting relationships with them, so that people felt safe and happy. ● The provider and staff ensured that people received continuity of care even when in hospital to help them cope with what was a frightening and anxious time. ● Staff helped ensure people maintained important relationships with their families and facilitated opportunities for people to meet family and friends away from the service when needed. ●Staff had a detailed understanding of individual risks and danger for each person. They understood the measures in place to keep them safe. ● There were enough staff with the right skills and knowledge to provide support in a person-centred way. The provider took care in their selection of staff. ● The environment was maintained to a high standard and with an ongoing programme of servicing and checks of equipment and refurbishments of the premises. Fire drills were held to ensure staff understood

how people could be evacuated safely. ●People were supported to eat healthily, and to access routine and specialist healthcare appointments when they needed to. A health professional commented that staff demonstrated a good understanding of a person's specific health needs, and had used appropriate discretion in alerting other health professionals when needed. ● Staff treated people with dignity and respected their privacy. ●People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. ●Detailed plans of care that considered people's needs and preferences guided staff in their support of people. ●People were provided with an individualised programme of activities to occupy them, and this was monitored to check their level of participation and adjustments were made to reflect people's preferences. ● The provider promoted an open culture and was a visible presence in the service, staff felt supported by the providers and the registered manager, they felt listened to and valued. Relatives were asked for their views and felt these were acted upon. ● The registered provider maintained systems to monitor and continuously improve the quality of services provided for people.

For more details, please see the full report which is on the CQC website at www.cqc.org.