Parklands

People were safe at the service. Staff had been trained to safeguard people from abuse and understood how to manage risks to people to keep them safe. There were enough staff to support people with staffing levels regularly reviewed and increased in relation to peoples' dependency levels. The staff worked well as a team and were clear about what they needed to do. Recruitment checks had been undertaken to make sure staff were suitable to support people.

People had a choice of comfortable spaces to spend time in at the service and we saw these being used as people wished. The provider had reviewed all areas and adapted the premises when needed to meet people's needs, for example creating a homely library area, pretty decked outside spaces, auditing and improving décor and/or flooring in all rooms and refreshing the exterior. The premises were clean and tidy. Staff followed current hygiene practice to reduce the risk of infections with new effective systems in place, including a designated laundry person. Visitors to the service were given information to help them reduce the risk of catching and spreading infection. Health and safety checks of the premises and equipment were carried out at regular intervals.

People's' care and support needs were assessed prior to them using the service. Care was taken to ensure staff could meet peoples' needs before admission and we saw that people had spent time at the home before choosing to move in. One person with close personal links to the home and told us they were very happy. Peoples' care plans set out for staff in detail how these needs should be met. Staff understood people's' needs and how they should be supported with these. They received relevant training to help them to do this. Staff were supported by the manager to continuously improve their working practices to help people achieve positive outcomes and there were regular competency checks.

Staff were calm, kind and respectful of people. They knew them well. 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.

People were supported to stay healthy and well. Staff helped people eat and drink enough to meet their needs, to take their prescribed medicines and to manage their healthcare conditions. People and staff's feedback indicated that since the previous inspection there had been great improvement in the way the service was run. Staff approached us throughout the inspection to tell us how much the service had changed for the better.

People and relatives were satisfied with the quality of care and support they received. The manager reviewed accidents, incidents and complaints to identify how the service could improve further and had taken action based on peoples' views. People were encouraged to have their say about how the service could improve.

The service worked with other agencies and healthcare professionals. We received positive feedback from two visiting health professionals. The provider and management team acted on their recommendations to improve the quality and safety of the service for people.