Walnut 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.

Right Care: People were observed making their own choices over both days of our inspection visits and staff listened to people's direction and followed their wishes. We continued to identify gaps in mandatory training of staff during our inspection, which poses a risk that staff may not have the required knowledge to keep people safe and ensure all staff were consistently promoting choices. Care records offered little involvement in their implementation of people, although monthly keyworker reviews alongside the person had been newly implemented.

Right Culture: The provider was currently implementing a change of senior structure within the organisation to improve oversight and timely action taken where areas of concern are identified. These roles were still being established at the time of our inspection. Our inspection highlighted that audits that had been completed, prior to these new roles being implemented, had not led to timely changes being made within the service. Although some improvements had been made since our last inspection additional input from the provider was still required to ensure people's needs were fully met.