35 Cranbrook Road

Some care plans and risk assessments had not been updated and reviewed to make sure they were accurate and up to date.There were audit systems in place however the registered manager's audits had not identified the shortfalls we found. These audits were meant to be completed to improve the care and service.

People felt they were well supported and their full range of needs had been assessed.

Care plans and risk assessments were in place to support staff so people's individual needs could be met and risks minimised.

People's medicines were managed safely by staff who were trained and competent to do this. To support staff there were medicines policies and procedures. This information was up to date and easily available for staff. There was also good practice guidance.

If there was a major emergency there were procedures and contingency plans in place. Staff had plenty of personal protective equipment (PPE) such as gloves and aprons. An infection control policy and procedure were in place and staff had completed training in this area

People told us positive things about life at the home. One comment was "It's nice." Safe recruitment procedures were in place and staff were supported to fulfil their role with training and learning updates. The staff and management team worked with other health and social care professionals. For example, when needed community psychiatric nurses supported people at the home.

People knew about their care plans. No one we asked said they wanted to be included in regularly reviewing and updating them with the staff. However, records showed some people had been involved in this process.

People were supported by a staff team who had built up positive relationships with people and their relatives. They understood how to meet each person's needs and knew their wishes and preferences. There

was rare use of agency staff and this was to ensure people received continuity of care.

People's privacy and dignity was respected and staff were kind and caring.

People's dietary needs were identified and met. People spoke positively about the meals.

People were supported to have maximum choice and control of their lives and staff supported support them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People took part in range of activities and spoke positively about these. People were encouraged to maintain contact with relatives and friends.

There was a complaints procedure in place .People knew how to make their views known if they were unhappy in anyway.