Rowden House

The registered manager and staff were passionate about ensuring people were at the centre of their care and support and that the home was more reflective of a large family.

There was clear guidance for staff on how to support people in line with their wishes. People's end of life wishes were recorded, and the home worked with other healthcare professionals to ensure people were comfortable and pain free.

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 received care and support that was safe. The provider had a robust recruitment programme and staff had received training in recognising abuse and safeguarding people.

There were enough staff to look after people safely and take time to sit and chat or join in an activity. Plans for a flexible working team with more staff were being put into place, this would mean a ratio of one staff member to four people enabling a more spontaneous approach to providing care and support. Risk assessments were in place with guidance for staff about how to keep people safe.

People received effective care and support that was focused on the person. Staff demonstrated a very good understanding of people's needs and received training relevant to their role and the needs of people living in the home. People enjoyed a healthy balanced and nutritious diet based on their preferences and health needs.

People received care from staff who were kind and caring. Staff always respected people's privacy and dignity. People told us they felt respected and valued. People were supported to express an opinion about the care provided and were involved in the day to day running of the home.

People were supported by a team that was well led. The registered manager demonstrated an open and

positive approach to learning and development. Everybody spoken with said they felt the registered manager was open and approachable. All staff said they felt valued and respected. Systems in place meant the registered manager was able to retain staff so they could develop relationships with people living in the home.

There were effective systems in place to monitor the quality of the service, ensure staff kept up to date with good practice and to seek people's views. Records showed the service responded to concerns and learnt from issues raised.