Lizbis Care Home

Not all environmental risks were managed. We found a fire door which had been wedged open when they should remain closed for safety, and the storage of people's medicines required improvement.

People were not engaged in activities as much they wished, and some carers did not always speak to people with respect. We have made a recommendation about more effective ways to communicate with people.

People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice. Not all Mental capacity assessments were decision specific and did not evidence how the determination of people's ability to make decisions were made. People did not have the required deprivation of liberty safeguards in place.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.

The provider was open and honest about the challenges which had been faced recently. They told us they were committed to improving the service and the support people required.

People and their relatives told us they felt safe living in the service and felt staff were responsive when they asked for help. Staff told us what person-centred care was and knew people well. Staff knew how to recognise signs of abuse and how to report these concerns. Policies and procedures were in place.

There were enough staff to meet people's needs. Agency workers were used to cover shifts permanent staff were unable to commit to and these were regular workers so people could get to know them.

People's care plans were reviewed regularly and updated so staff had access to the most up to date information to support people and people's wishes for support at the end of their life were recorded.