L'Arche Bognor Regis Bethany

People now received safe person-centred care. Risks to people were now mitigated. Medicines were now managed safely. People took part in decision about their safety and wellbeing. The culture of the service promoted a positive approach to risk management. Safeguarding procedures protected people from abuse. There were enough skilled staff to ensure people’s safety and meet their needs.

People were now involved in planning their care. Care plans now reflected people’s preferences and promoted effective outcomes. People’s needs were regularly assessed and reviewed. People had access to health and social care professionals and medical treatment. People’s rights were respected, and care and treatment provided in line with the requirements of the Mental Capacity Act 2005.

The Mental Capacity Act 2005 (MCA) provides a legal framework for making particular decisions on behalf of people who may lack the mental capacity to do so for themselves. The Act requires that, as far as possible, people make their own decisions and are helped to do so when needed. When they lack mental capacity to take particular decisions, any made on their behalf must be in their best interests and as least restrictive as possible.

People told us staff were caring and respected their privacy and dignity. We observed staff practice promoted people’s independence and respected people’s choices. People were treated as individuals, their strengths, abilities, and preferences were known and respected. A relative told us, “The most striking feature is that it is a loving, caring community, staffed by people who really care about the people.”

People were now enabled to influence the way their support was provided and to achieve personal goals and outcomes. Information was provided in a way that met people’s communication needs. People had opportunities to feedback on their care and influence change. People’s protected characteristics and diversity needs were considered in line with the Equality Act 2010. The Act ensures everyone is lawfully protected from discrimination.

The service was now well-led. The culture of the service now supported people to have choice and control over their lives. Systems were now in place to assess and check outcomes for people. Records were now correct and contemporaneous. Feedback was used to inform change and learning. There was partnership working with key organisations.