Bruce Lodge

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. People at risk of malnutrition were supported to help ensure they had a good level of nutritional intake. We have made a recommendation to ensure people have access to water at all times. Referrals to other agencies were made when needed and this helped people access the healthcare they needed. People were supported by staff who had received training and supervision.

People told us staff were caring, kind and treated them well. We mostly observed staff treating people with respect and encouraging them to be independent and make decisions about their care when they were able to. Staff respected people's right to privacy, dignity and confidentiality.

Care plans included information about people's backgrounds and diversity to guide staff about what was important to them. We have made a recommendation about people's staff gender preferences for care.

The registered manager had good links with other organisations and built relationships with key people such as the local authority and health protection teams. Statutory notifications were submitted as required. We found there were still some improvements to be made to the oversight of the quality and safety of the service and we have made a recommendation about this.