Twelve Trees Residential Care Home

People were safeguarded from abuse and avoidable harm. Staff told us they were well supported by the management team and felt confident to raise any concerns. Staff were able to recognise possible signs of abuse and knew how to report such concerns promptly. 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. Risk assessments about care were person-centred, proportionate, and regularly reviewed with the person, where possible. Safe staffing levels were in place. We shared some feedback about the recruitment procedures at the service. The registered manager took immediate action in response to the feedback. The provider had identified some staff refresher training and supervisions were overdue, an action plan was in place and the provider was making progress to complete it.

People and their relatives were actively involved in developing their care plans. People’s care plans contained information about the type of decisions they were able to make and how best to support them to make these decisions. Staff knew about people’s health needs and personal preferences and gave them as much choice and control as possible. People’s personal, cultural, social and religious needs were understood and met. People had access to activities and the local community to promote and support their independence, health and wellbeing. There was a range of equipment available to support and maximise people’s independence and outcomes from care and treatment. People’s family and friends were free to visit when they wished.

The service complied with legal equality and human rights requirements, including avoiding discrimination, having regard to the needs of people with different protected characteristics and making reasonable adjustments to support equity in experience and outcomes. The service celebrated people's different cultures and religions.