Linda Grove

Right support: • The model of care and setting did not fully maximise people's choice, control and independence. For example, people lived in an environment where safety issued had been identified and was not homely. The environment did not meet people's sensory needs. People were supported to personalise their bedrooms and had privacy for themselves and their visitors. The service was located so people could participate in the local community. Right care: • Care was not fully person-centred. For example, while staff knew people well and were caring in their approach, people were not always supported in line with preferences which were outlined in their care plans. People were supported by staff who treated them with kindness and respect. Right culture: • Ethos, values, attitudes and behaviours of leaders and care staff did not fully ensure people using services lead confident, inclusive and empowered lives. It was not clear how people had been empowered to have as much choice and control over their care as possible. A lack of management presence meant leaders were not always available to monitor the day to day culture. Despite this, staff remained positive and felt well supported. They were motivated to do the best they could for people.

The service was not always safe. Risks associated with people's support needs and health conditions had not been effectively managed. The premises and equipment were not always secure, properly maintained or suitable. The provider had not ensured measures were in place to prevent and control the spread of infection. This increased the risk of harm to people. The manager told us of their plans to make improvements to ensure safety.

There were enough staff to support people safely and staff were recruited safely. Staff had a good understanding of safeguarding people from abuse and were confident the manager would act appropriately if necessary.

The home was not always well-led. Leadership arrangements did not ensure the safety and quality of the service. Governance systems to monitor the quality of care being delivered to people were not effective and did not always drive the necessary improvement. People did not always receive person-centred care.

Staff felt valued and enjoyed working at Linda Grove. They were kind and cared about the people they supported.

The manager demonstrated a willingness to make improvements and during the inspection began reviewing their systems and process to ensure the service consistently provided good, safe, quality care and support. The senior leadership team additionally demonstrated they took our concerns seriously and acted promptly to support the manager to make the necessary improvement. Further progress was still needed to fully embed and sustain these improvements.