Selkirk House

People told us they felt safe living at Selkirk House. One person commented, "I love living here and I'm a safe as I can be." People were supported by staff who understood their needs and knew how to protect people from the risk of abuse.

Risks relating to each person had been identified and care plans and risk assessments were in place to guide staff how to manage and reduce risks. Care plans and risk assessments included detailed information about people's skin integrity and the support they needed to minimise the risks of developing pressure sores. Where people were unable to change their position in bed to relieve pressure on their skin, staff regularly helped them to do so. Equipment such as specialist pressure relieving mattresses were in place, and daily checks were made to ensure their effectiveness.

Effective systems were in place to ensure people received their medicines as prescribed and medicines were received, stored, administered, and disposed of safely.

We observed there were enough staff to care for people safely and meet their needs. Staff were available to respond to people's requests for assistance and the atmosphere was calm and relaxed. However, some people and staff told us that at times, people had to wait for their care needs to be met. We discussed this with the registered manager who told us they were currently recruiting more staff to ensure staffing levels responded to the identified needs of people.

Recruitment practices at the service ensured that, as far as possible, only suitable staff were employed.

A positive culture was shared to ensure good outcomes for people. Incidents were investigated and improvements were made. Managers and staff were clear about their roles and regulatory requirements.

Staff we spoke with told us communication between staff and managers was good. Staff said they were able

to share feedback during regular supervision meetings and staff meetings. Daily handover meetings took place between shifts and where possible the managers attended.

The registered manager and provider had systems in place to monitor the quality and safety of the home. This included audits, improvement plans and gaining feedback from people and staff.

The service worked in partnership with other organisations to make sure they were following current practice, providing a quality service and to ensure the people in their care were safe.