Wykewood

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; the policies and systems in the service supported this practice. The service did not always provide sufficient choices of nutritious food for people, we saw a lack of vegetables and choice offered on the day of inspection. We recommended the service review this as well as reviewing the availability of foods to meet people's specific dietary requirements. Pre assessments done prior to people being admitted to the home were detailed and specific. People were supported by staff who had received sufficient training and support to fulfil their roles.

The service was responsive to people's needs and requirements. Care plans were detailed and contained person centred information and guidance for staff. The provider had assistive technologies to meet people's specific communication needs. We saw evidence of activities and excursions for people which were planned specifically to meet their preferences and interests. Staff were trained to deliver end of life care and care plans were completed in line with these requirements.

Many of the shortfalls identified on the last inspection had been improved or rectified by the registered manager. The provider had effective audit systems in place which were driving the quality in the service. The registered manager was completing daily audits, walk arounds, and oversight in the service had improved. The provider was engaging with people, relatives and staff through a range of different methods to gain feedback on ways to improve the service. Staff told us the management team were supportive and visible on the units.