St Anne's Community Services - Sutherland Court

Medicines were managed safely. How people preferred to receive their medicines was documented within their care and support plans and we saw staff followed people's preferences.

There were enough staff to support people. Staff were following an ongoing training plan to support them in meeting people's needs. Staff were being supported, through training and discussion, to change the culture within the service. This was in it's early stages, but the support being given to staff was to enable them to make improvements in promoting people's independence and supporting them to make choices.

Systems for managing Deprivation of Liberty Safeguards (DoLS) had been improved and information was in place to support staff in knowing what to do to meet any conditions associated with the DoLS.

People were supported to remain healthy. People enjoyed their meals and were able to make choices. Some people needed better support to make sure their diet met with their needs.

A new management and quality team had introduced governance systems to make sure people were safe and received good quality of care and support in line with their individual needs. Because the governance systems were new, we were not able, at the time of the inspection, to see how they would be used to affect change within the service.

We have made a recommendation the provider considers making changes to the way people's feedback is analysed and summarised to reflect people's views of individual services.

The service was able to demonstrate they were meeting some of the underpinning principles of Right support, right care right culture.

Right support The new model of care aimed to maximise people's choice, control and independence. New documentation to support people's communication needs and abilities promote independence and manage risks meant improvements were being made in making sure people were receiving the right support. People appeared relaxed and comfortable, we saw people choosing where to spend their time and engaging in activities they enjoyed or found comforting. People appeared to have a trusting relationship with staff.

Right Care People were supported to choose their activities and contact with their families or advocates was promoted. The introduction of the 'This is me' documents showed staff were working with people and their families to identify what was important to them, what their goals and aims were and how they preferred to receive the care and support they needed.

Right culture The management and quality team were supporting staff to change the culture in the service. The review of systems, better staff training and promotion of a less risk averse and more person- centred approach to care meant people were receiving the care and support they needed.