The Maltings

Where people became distressed or anxious the staff knew how to manage the situations. The registered manager had agreed to review the behaviour plans. This was to ensure there was detailed guidance to staff on how to support people when they were asked to go to their bedroom to regain control of their emotions. We recommended the registered manager seek guidance on developing behaviour support plans that have detailed guidance to staff.

Although communication plans were in place and acknowledged people's sensory needs. The actions did not include developing records in formats that helped people understand the support to be provided. For example, picture formats and audio recording will help people understand the care being delivered.

Quality assurance systems were in place and effective. The areas identified at the inspection were already set for action by the registered manager. There were in-house activities and staff told us people were supported with in-house or community activities.

People were not able to tell us about their experiences of living at the home or on how the staff supported them. People did not show signs of distress while staff were present. We saw people accept staff support and interaction.

We saw examples of good engagement between people and staff. The staff told us how they ensured people were treated with kindness and compassion. The relative we spoke with gave positive feedback about the care and support delivered by the staff.

The staff had attended safeguarding of adults from abuse training. They knew the procedure for

safeguarding people which included the types of abuse and reporting their concerns.

There were sufficient staff on duty to meet the needs of people. The recruitment procedures followed ensured suitable staff were employed. Medicine systems were safe. The registered manager acted promptly and added the person's ability to express pain to the "when required" protocols.

New staff received an induction which included the Care Certificate. Staff attended mandatory training set by the provider. Staff were supported with the responsibilities of their role which included regular one to one supervision.

Mental capacity assessments were in place for specific decisions. The staff were knowledgeable about the day to day decisions people made. People at the service were subject to continuous supervision and restrictions and appropriate Deprivation of Liberty Safeguards applications were made. People were supported with their ongoing health. People had access to community health such as therapists, dentists and opticians.

People's dietary requirements were catered for.