Homefield House

The service required some decorating works completing and new flooring was required, this had already been identified by the provider and work would commence shortly.

People did not always receive their medication as required. 'As and when' (PRN) protocols were not in place for everyone. The deputy manager rectified this immediately and ensured all people had protocols in place. Staff had received medication training and we observed safe practice in the administering of medicines.

The service had effective safeguarding systems, policies and procedures in place. Staff have a good understanding of abuse and knew what to do to keep people safe. Staff had received safeguarding training.

Risk assessments were person centred and reviewed regularly. Staff were aware of people's risks and how to manage them. Staff understood their responsibility to raise concerns and were supported to do so.

There was enough competent staff on duty and the service regularly reviewed staffing levels and adapted them to meet people's changing needs. Staff told us staffing was much better and people were getting the care they needed.

Staff completed an induction and did not work unsupervised until they felt confident to do so. Staff had the right qualifications to carry out their duties and received regular supervision and appraisals.

Assessments of people's needs were completed and regularly reviewed and updated. Referrals to external services were made to ensure people's needs were met.

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 were empowered to make choices and be as independent as possible. People were encouraged and supported to carry out person centred activities. One relative told us [Person's name] plays games and

paints, they also take [Person] out once a week and [Person] her bake, [Person] loves it."

People's complaints were listened to and responded to in good time. People and their relatives told us they felt confident if they complained they would be listened to and taken seriously.

The provider had an effective governance system in place. Information from governance meetings and action plans support to drive improvement and improve outcomes for people.

The service has a positive culture that is person centred, open and empowering. People and their families are involved in the service in a meaningful way. The service engages and involves staff and ensures their views are acted on to shape the culture of the service.