Kingsway Clayton House Residential Care Home

Right Support People had support to pursue their interests in a meaningful way. Although this was a larger than recommended service under the right care, right support, right culture principles, people were supported to undertake activities in an individualised and meaningful way. They were able to personalise their rooms and spend time in different areas of the service as they wished to. Staff supported people with their medicines to achieve the best possible health outcome. Medicines were managed safely. Staff enabled people to access healthcare in the community and were supported to maintain their own health and wellbeing. Safeguarding processes at the service had been improved and had resulted in better management of people's finances, and people's positive behavioural plans were used effectively to provide good outcomes for them. Risks to people's safety were reviewed and measures were in place to safely support people. People at the service were all able to verbally communicate with staff and make their needs know.

Right Care People's support plans were individualised and contained personalised details of the support people required. Staff were trained so they understood how to protect people from poor care and abuse, and support people's differing needs . There was information on display at the service in formats accessible for people living there about safeguarding and whistleblowing. The service had enough appropriately skilled staff to meet people's needs and keep them safe.

Right Culture There had been improvements to the governance arrangement at the service, resulting in better oversight of people's care since our last inspection. However, the arrangements were a temporary measure and further

arrangements were required to ensure the long-term oversight of the service was maintained. The service was being run by the deputy manager and office manager. They had the support of a family member of the provider, and a consultant employed by them. The provider's family member recognised the arrangements needed to be formalised and was working to address this. Feedback on their care was obtained from people and there was evidence on how the service promoted improvement or acted on people's views. People were supported by staff who knew them well and the staff turnover was low which had a positive effect on the people living at the service