Flexible Support Options Limited (Pengarth)

Right Support: 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.

Staff supported people to make decisions following best practice in decision-making. People's relatives helped people express their needs and wishes. Multidisciplinary healthcare teams were involved in decisions about people's health.

Staff enabled people to access specialist health and social care support in the community. Staff knew people well and provided person-centred care. Care documentation included clear guidance on how to care for people.

Medicines were managed safely. 'When required' medicines had clear guidance on when to administer these medicines when people might not be able to ask for this themselves.

Right Care: Staff understood how to protect people from poor care and abuse. The service worked with other agencies to do so. Staff had training on how to recognise and report abuse.

Risks to people were assessed and regularly reviewed when people's needs changed. The building was well maintained, and health and safety risks were assessed.

The service had enough appropriately skilled staff to meet people's needs and keep them safe. People were supported by staff who had been trained in how to care for their specific needs.

Right Culture: There was a positive culture in the service. Staff said the management team were supportive. Relatives thought the service was managed well and that people enjoyed living there.

People, their relatives, advocates and healthcare professionals were involved in planning their care.

Quality assurance and monitoring systems were in place and effective. The registered manager was continuously improving the service.