Terrys Cross House

There were enough staff to provide safe care and people were protected from risks of abuse. Staff were trained to administer medicines to people and some people were supported to manage medicines themselves where appropriate. Risks to people were identified, assessed and managed and staff were knowledgeable about people's individual needs. There were effective systems for the prevention and control of infections and systems for monitoring incidents ensured that lessons were learned when things went wrong.

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.

Staff had received the training and support they needed to be effective in their roles. They supported people to access the health care services they needed and worked effectively with other agencies. People were supported to have enough to eat and drink and spoke highly of the standard of food and the choices on offer. One person told us, "If you don't want the choices offered the staff put themselves out to cook something else for you."

People spoke highly of the kind and caring approach of the staff. They told us they were treated with dignity and respect. People were supported to express their views and described feeling in control of their care. One person said, "I can choose how I spend my day, if I don't want to do anything, then at my age, I don't have to do anything."

People and staff told us the service was well managed. There was an open and inclusive culture where people and staff were encouraged to contribute their views and ideas. The registered manager had clear oversight of the running of the home.