Maitland House

Environmental risks had been identified and action taken to reduce risks. Where we identified potential risks to people's safety from unsecure wardrobes the provider responded immediately to rectify this.

Risk assessments detailed people's individual risks such as, mobility, risk of falls and managing behaviours that may present a risk to the individual and others. Further work was needed to ensure robust assessment and monitoring for people where medicines were covertly administered and effective monitoring where people were at risk of losing weight.

There was an open and transparent culture within the management team demonstrated throughout the inspection. There were systems in place to monitor the quality and safety of the service. Incidents and accidents were investigated, trends analysed, and actions were taken to prevent recurrence. However, whilst we were reassured action was taken to rectify the shortfalls we found at this inspection, we recommended the auditing system is reviewed to provide more effective oversight of medicines management, weight monitoring and environmental risks.

People told us staff were kind, caring in their approach and supported their independence. People, their relative's and staff were positive regarding the management of the service.

People had access to a complaints process and provided with the information they needed to raise a concern should they need to do so. People's feedback was considered through a range of systems such as surveys, care reviews and meetings.

People were supported by skilled staff with the right knowledge and training. Staff told us they were supported by the management team with their training and development needs.

Personalised care plans had been developed, which provided the staff team with guidance about the needs of people and how these needs were to be met.

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 had access to a variety of nutritious meals and snacks. Meals were freshly prepared and pleasantly presented.

There was a varied range of social activities on offer. Work was in progress to improve links with the community. We recommended further work is carried out to ensure planning and monitoring of people cared for in bed to provide social stimulation and reduce their risk of isolation.