Russets

Right Support: Although the service is larger than current best practice guidance, this was mitigated by the building design. People lived within smaller flats in part of the building and had privacy for themselves and their visitors. We identified some environmental safety risks and we made a recommendation about this. The service was located so people could participate in the local community.

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. However, records relating to consent and capacity needed improving and we have made a recommendation about this.

Right Care: People received support from staff who knew them well, understood their needs and considered their preferences. Staff understood how to protect people from poor care and abuse. Healthcare professionals had been referred to appropriately and staff ensured their advice was followed. People's support plans reflected their range of needs and this promoted their wellbeing. Risks associated with people's needs were understood by staff.

Right Culture: Quality assurance processes had not identified all the concerns in the service and where they had, enough improvement had not taken place. Records were not always complete. It was not always clear how people were involved in making decisions about how they wanted to achieve their goals. We have made a recommendation about this.

The culture at Russets had improved since the last inspection and was positive. People and their families told us they felt the management team was supportive. Complaints were listened to and acted upon. Staff received the training, support and information they needed to provide effective care.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk