Shaftesbury Treetops

At our last inspection we identified issues with the management of medicines and levels of oversight by the provider. At this inspection we found that improvements had been made, the management of medicines had been strengthened and governance was more robust overall.

There were systems in place to assess and mitigate risks and care was delivered in a way that was intended to ensure peoples safety and welfare. The environment was accessible, clean and comfortable. There were systems in place to reduce the risk of infection and to learn lessons from accidents and incidents.

There was enough staff available to meet peoples needs, and while there were some staffing vacancies, interim arrangements were in place. There were clear processes in place to recruit staff to ensure they were suitable for the role. New staff received induction and ongoing training to provide them with the skills and knowledge they needed to support the people living in the service.

Mealtimes were a sociable experience and the staff worked with a range of health care professionals to support people's health and wellbeing.

Staff were motivated and supported. They were clear about their responsibilities and there was a strong person-centred culture. There was a clear emphasis on helping people to communicate effectively and people told us they were consulted and had a say in how they were supported.

Peoples care was underpinned by detailed and informative care plans which were regularly updated to

reflect changes in people's needs. There were systems in place to hand over information about peoples needs which ensured that staff had the information they needed to support people effectively.

People were supported to follow their interests and had access to a range of social opportunities both within the service and in the local community.

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.

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

Regular audits were undertaken to identify learning and drive improvement.