Mitchell House Nursing Home

Some improvements were made to the detail in people's care plans, but some information still required further updates. Improvements had also been made to the personalisation of people's care plans; however, they did not always reflect people's day to day life. There were improvements to the quality assurance process in place, but they were still not robust enough to always identify any required improvements.

The provider had made improvements to their infection, prevention and control systems. The manager had developed an effective system to review any accidents and incidents and to ensure actions were taken to reduce the risk of reoccurrence. The manager had also implemented an effective system to safeguard people from the risk of harm. People were now supported by permanent members of staff.

We found improvements were made and people were now 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 now had the right training to meet people's needs. People were supported to eat and drink to maintain a healthy diet. People's care and support was provided in a safe, clean, well equipped, well-furnished and well-maintained environment.

People were now involved in their care and supported to express their views. People's right to confidentiality was respected, and their privacy, dignity and independence was respected and promoted. People were supported and treated well, with their equality and diversity respected.

People were supported to take part in activities which were of interest to them on a one to one basis. There was a system to record, monitor and respond to complaints. People's care plans contained details of the care they required in an emergency situation.

Staff shared a positive culture which provided good outcomes for people. Staff were encouraged to be open and honest when things went wrong. People, their relatives and staff were provided with the opportunity to

feedback on the service. The provider worked in partnership with others.