Attleborough Grange

There were enough staff to provide safe and effective care. Staff were recruited safely and understood the action to take if they had any concerns or suspected abuse was taking place. Risks to people's health and well-being had been identified and there was detailed guidance for staff on how to mitigate those risks. However, some identified risks were not always managed in line with people's care plans.

The provider had policies and procedures to minimise the risks of an infection outbreak which were understood by staff. People's medicines were available to them, but some improvements were required in the checks to support safe medicines practices.

Staff received appropriate training, support and supervision to carry out their roles effectively. People were encouraged to eat and drink enough to maintain a balanced diet. Where people had specialised diets, this was known by staff. People were referred to other healthcare professionals in a timely way and communication of information was effective. Improvements had been made to the environment which had a positive impact on the well-being of people living in the home.

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.

People and relatives were positive about the caring attitude demonstrated by staff. Staff enjoyed their work and were motivated to provide people with a warm and caring environment. Staff promoted privacy and independence and respected people's individual beliefs and values.

Care plans considered all aspects of people's care and included their care preferences in relation to their health, emotional and social well-being. People were offered regular opportunities for social engagement either in group settings or one to one to prevent isolation or loneliness. People's communication needs

were assessed and supported. People were supported to stay at Attleborough Grange as their health deteriorated. Care plans contained some information about people's wishes for their end of life care.

The culture of the service had improved, and staff felt able to raise concerns and share suggestions, confident they would be listened to. Managers were visible and supportive, and relatives were well informed about what was happening in the home. The provider supported staff well-being and had introduced initiatives to develop working relationships and improve outcomes for people.