Leighswood

People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice.

People's needs and choices were assessed and the service ensured people's dietary needs were well met. However, people's oral health needs were not individually documented. The new provider had taken steps to improve the environment for people. People were also supported to access healthcare and external support as needed.

People did not always feel there were enough activities to keep them occupied. However, the records showed a range of activities had previously taken place. The provider had recruited an activity coordinator to establish further activities for people in the future. People's communication needs were considered and catered for. Systems were in place to seek feedback and resolve people's complaints.

Quality assurance systems were not always effective for people. This meant the action taken by the provider had not always ensured people received consistent, good and safe care. The provider was working to improve the systems and processes in place and provide a positive culture for people at Leighswood.

People were supported in a caring and dignified way by staff. We saw people having positive interactions with staff, who sought to comfort and reassure those in distress. People felt staff knew them well and were supportive.