Spring House

Right Support:

Mental capacity assessments weren't always carried out robustly by staff to ensure peoples' safety. However, people were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible.

The building and decoration were designed to meet the needs of people using the service and provided six single occupancy apartments or studio apartments with communal spaces.

People were encouraged to be independent and were given a budget so they could choose what they wanted to eat. One person told us, "It's exciting to get to pick my own food."

Right Care:

Risk assessments had been completed but did not cover all the issues we found to ensure people were safe.

People were treated with kindness and compassion. During the inspection we observed positive interactions between people and staff. One person told us staff were kind, they noticed when they were upset, and offered support.

People received care that was tailored to their specific needs. Care plans were individualised and contained detailed information about people's needs and preferences.

People's rights to dignity and privacy were respected. One person couldn't be left alone whilst in the bath due to their health condition. Therefore, a screen was used to respect privacy and dignity, and ensure the person was safe. One person told us the most important thing for them at Spring House was the level of

respect shown by staff for people living there. This was particularly important when people were experiencing difficulties managing their mental health.

Right Culture:

Although there was a quality assurance process, the registered manager was not able to produce a medicines audit which placed people at risk of not receiving their prescribed medicine safely. Risk factors relating to safety had not always been identified and addressed. However, the registered manager said they would address all the issues we found immediately. Staff received the relevant training when they joined the service, they received ongoing training, had their competencies assessed and received supervision. People told us, "Yes, I feel safe here, I trust the staff" and "Staff have the skills they need to work with people."