Rookery House

People were supported to pursue some interests but did not have goals in place that identified future aspirations and guided staff about how to support them in a consistent way. Staff did not always communicate with people in ways that fully met their needs.

Staff supported people to make decisions following best practice in decision-making. The service worked with people to plan for when they experienced periods of distress so that their freedoms were restricted only if there was no alternative.

People were supported to have maximum choice and control of their lives and most 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 enabled people to access specialist health and social care support in the community. Staff supported people with their medicines in a way that promoted their independence and achieved the best possible health outcome. Staff supported people to play an active role in maintaining their own health and wellbeing.

Right Care: Staff promoted equality and diversity in their support for people. They understood people's cultural needs and provided culturally appropriate care. People received kind and compassionate care. Staff protected and respected people's privacy and dignity. They understood and responded to their individual needs.

The service had enough appropriately skilled staff to meet people's needs. Staff had training on how to

recognise and report abuse and they knew how to apply it and who to report any concerns to.

Staff had not yet received training in the persons preferred communication method. Clear systems of communication were required to support people to further develop their methods of communicating and ensure they were able to better express their views.

People's care, treatment and support plans reflected their current needs and this promoted their wellbeing and enjoyment of life. People could choose how to spend their time and pursue interests. Staff assessed risks people might face. Where appropriate, staff encouraged and enabled people to take positive risks.

Right Culture: Staff and managers did not effectively evaluate the quality of support provided to people in relation to how they spent their time and what skills they had achieved. Relevant information about progress and outcomes was not recorded.

People's quality of life was enhanced by the service's culture of improvement and inclusivity. Staff placed people's wishes, needs and rights at the heart of everything they did and knew people well.

Staff ensured risks of a closed culture were minimised so that people received support based on transparency, respect and inclusivity. People and those important to them were involved in planning their care.