Waterfall House

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. However, we found that where people lacked capacity, a mental capacity assessment and best interest decisions that had been made, had not always been clearly documented within the person's care plan.

Risks identified with people's health and care needs had been assessed and appropriate guidance had been provided to staff which enabled them to support people to remain safe and free from harm.

Medicines management and administration systems in place ensured people received their medicines on time and as prescribed.

Recruitment records confirmed that the provider only employed staff members who had been assessed as safe to work with vulnerable adults.

People were supported with their nutrition and hydration needs. People had access to drinks and snacks throughout the day. Where specialist support was required this was provided.

The service supported people to access the services of a range of health and social care professionals where required.

Support staff received the relevant training and support to carry out their role.

We observed positive and respectful interactions between people and staff. People were supported and encouraged to maintain their independence as far as practicably possible.

Care plans were person centred and detailed and focused on people's needs and wishes.

People knew the provider and the registered manager well. We observed people approaching them with confidence.

A variety of systems and processes were in place to oversee and monitor the quality of care that people received. This enabled the service to learn, develop and improve care provision.