St Matthews Unit

Right Support: Overall the management of risks associated with people's care and support had improved. People had strategies which provided guidance in the event they became distressed. However, wound and pain management needed to improve at the service. We found concerns in relation to the management of medicine. For example, the provider did not always have written instructions for staff about the reasons for giving people when required medicine.

People were mainly supported to have maximum choice and control of their lives and staff mainly 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 enough staff to meet their individual needs and to pursue hobbies and interests in their local community.

Right Care: Staff knew people well and used people's preferred communication methods, however, care plans were still being updated and improved to support staff to provide person-centred care. Staff had received additional training around people's health conditions and responses and interventions for people who experienced distress. The range of activities had not increased since our last inspection, but people were going out when they wanted to.

Right Culture: Improvements had been made in provider oversight and governance systems. Our evidence identified that improvements needed more time to fully embed into working practices. The provider had learnt lessons from our previous inspection findings and been open about where things had gone wrong. A new manager had been appointed. Relatives and staff were positive about changes, including improved communication and consultation.