Castle Keep

People received their medicines as prescribed. Medicines are stored correctly; staff keep accurate medicines records and manage medicines consistently and safely.

Effective safeguarding systems were in place. Safeguarding concerns were managed consistently and promptly. All staff had an awareness and understanding of abuse and felt comfortable raising concerns about their own or other people's safety.

Risk assessments were person centred and contained enough information to guide staff in their practice. There was a culture of learning from accidents and incidents.

There was enough competent staff across the service to meet people's needs. Recruitment processes were robust and appropriate recruitment checks were carried out. One relative told us "There is always enough staff around if you need them."

Infection, prevention and control was managed well. Staff were trained and understood their responsibilities for maintaining high standards of cleanliness.

The service had a positive culture that is person centred. The provider, manager and staff had a good understanding of equality and diversity and this was promoted through the workforce. Relatives told us "The staff are brilliant; they go above and beyond" and "The staff are lovely and it is a lovely atmosphere."

The manager had effective governance systems in place. Risks were identified through audits and action plans were produced that monitored the services performance and used the information to drive improvements through the service.

People and their families were involved in a meaningful way and their feedback used to drive improvements in the service.

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.