Westwood

Right Care There were not always enough staff to meet people's needs in the evenings and at night. This was reviewed following our inspection and staffing levels were increased. Staff had the skills, knowledge and experience to meet people's needs and more specialist training was being sought in relation to Makaton (a sign language) and Positive Behavioural Support. Agency staff were used to cover staff sickness or annual leave. Wherever possible the same agency staff were used which provided people with a consistent approach.

People's medicines were stored safely, and people received their medicines in line with their prescriptions. Where appropriate, people were supported to manage their own medicines.

Right culture There were good systems for auditing medicines, health and safety and care plans, and any shortfalls were addressed promptly. External oversight was not so thorough, monthly audits had not picked up on matters identified at inspection such as the impact of low staff numbers.

Although there were established systems to hear people's views either through keyworker meetings, house meetings and surveys, records did not demonstrate how people's wishes were being met. There were no recent surveys to seek the views of people's relatives or staff. People told us they were happy living at Westwood. Overall, we received very positive feedback from relatives we contacted, and they spoke very warmly of the care and support provided at Westwood. Staff told us they felt supported and they attended regular supervision meetings and staff meetings where they had opportunities to share their views on the running of the service.

Right Support People were supported to have maximum choice and control of their lives and were supported in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. There were systems to ensure people's needs were assessed and reviewed. Westwood was kept

clean.