Foxglove Care Limited - 3 The Causeway

Right Care: Staff understood how to protect people from poor care and abuse, however the system to review safeguarding's was not always effective. We have made a recommendation about safeguarding. There were enough appropriately skilled staff to meet people's needs and keep them safe. People could communicate with staff and understand information given to them because staff supported them consistently and understood their individual communication needs. We observed positive interactions between people and staff. People's care and treatment support plans reflected their range of needs and this promoted their wellbeing and enjoyment of life. Relatives told us they were involved in care planning and could attend meetings. Staff assessed people's risks appropriately and encouraged and enabled people to take positive risks.

Right Support: 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 supported by staff to pursue their interests and achieve their aspirations and goals. Relatives told us the service provided activities people enjoyed doing such as swimming, bowling and going out weekly for pub lunches. The service gave people care and support in a safe, clean, well-furnished and well-maintained environment. People were supported to make decisions following best practice in decision making and staff communicated with people in ways that met their needs.

Right Culture: Staff knew and understood people well and were responsive, supporting their aspirations to live a quality of life of their choosing. Staff told us they enjoyed their job and making a positive difference to someone's life. Staff turnover was low, which supported people to receive consistent care from staff who knew them well. People and those important to them were involved in planning their care and staff evaluated the quality of care provided to people, involving the person, their families and other professionals as appropriate. Staff ensured risks of a closed culture were minimised so that people received support based on transparency,

respect and inclusivity. Relatives told us when they visited the service the atmosphere was good, staff were always pleasant and smiling and there is nothing they would change.