Winchester House

People told us that they felt safe, One person we spoke with, told us, "Oh yes it's safe here, and they always check on me." Another told us that, "[staff] are professional and do what I ask of them."

Safeguarding incidents and accidents/concerns were investigated thoroughly, and the registered manager worked closely with local authority safeguarding teams to prevent the risk of reoccurrence and identify the causes. The frequency of safeguarding alerts had reduced significantly since our last inspection.

People's care plan files were up-to date and contained the information needed to support people. However, the care plans we reviewed were difficult to read and follow. They contained a large amount of information, were handwritten and did not contain a summary of the person's needs. This could pose a risk to people as new or agency staff may find it difficult to access the most up to date information needed to care for people safely.

Feedback on activities available to people was mixed. Some people were observed completing hobbies they were interested in, such as gardening however, on two nursing units there was a distinct lack of engagement for people who were cared for in bed.

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.

People who were receiving support from external healthcare professionals had updates to their care plans and there was clear guidance in place for staff to support people appropriately.

People were supported to take their medicines as prescribed. Staff were given training they needed to perform their roles and the registered manager had a team structure in place for supervision and reporting, whilst fostering and open-door culture that encouraged staff to go to them.

There had been improvements in the quantity and frequency of quality assurance checks since the last inspection. The registered manager had implemented several changes to improve the service.