Grace Manor Care Centre

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. Advocates were activity sought to help people express their needs and wishes and to weigh up and make decisions about the options available to them.

Staff enabled people to access specialist health and social care support in the community. There had been improvements in the services communication with health and social care professionals which had a positive impact on people's care. Staff demonstrated they knew how to support people's individual health and medical needs. This guidance was available to staff to ensure people's needs were consistently met. Medicines management had been improved so people could be assured they received their medicines when they were needed.

Staff supported people to take part in group and one to one activities that included their interests. The service had received a compliment from a relative about the activities provided. 'What I also like about Grace Manor is the activities they do on a daily basis with the residents to keep them active in the best way possible'.

The service gave people care and support in a safe, clean, well equipped, well-furnished and well- maintained environment. People were able to personalise their rooms.

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

Improvements had been made to assessing potential risks to people and providing guidance to staff to ensure these risks were minimised. Changes continued to be made to people's care, treatment and support plans to ensure they reflected their range of needs.

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

Right Culture: There had been significant changes to the culture of the service driven by the registered manager. As a result, people benefitted from an open and positive culture service where the management team was approachable and listened and responded to people's views.

People and those important to them, including advocates, were now fully involved in planning their care. Staff knew and understood people well.

Quality assurance and monitoring systems had improved and were effective in identifying shortfalls and driving through positive changes. People and their relatives' views were regularly sought and acted on.