30 Richmond Road

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

At this inspection we found the service remained Good.

Why the service is rated Good

The service continues to keep people safe. Recruitment procedures continued to ensure suitable staff were employed to support people and help keep them safe. Risk assessments continued to consider least restrictive options to enable people to continue engaging in activities that enhanced their well-being. Care documents supported the risk assessments currently in place.

Medicine management continued to be provided in a safe way. Audits illustrated that people received their medicines in a timely manner and how they wished. Medicines were correctly stored, disposed of and ordered to ensure that people were not without their medicines at any point. Two recent pharmacy inspections rated the service highly, with no recommendations or improvements suggested. The service was commended on their medicine management.

Staff training was kept up to date, and a rolling training programme was in place. Staff received frequent supervisions and annual appraisals that enabled them to discuss their performance.

People's needs were assessed initially upon admission, and thereafter reviewed monthly to ensure care was the most appropriate. People were involved in their care planning process as far as possible, with relatives and professionals consulted where necessary and agreed. People's rooms were personalised in a style that they preferred, with furnishings that brought a personal touch to their rooms.

People were supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible. This included making decisions about their care as far as possible, food choices as well as activities. People received responsive care. Staff had a thorough understanding of

people's needs and focused on developing people's skills through personalised and responsive care. External relationships were encouraged, and developed. Staff encouraged and assisted on family holidays

Staff approach remained caring. People were supported by a staff team that knew them well, and ensured they enabled them to maintain their dignity at all times People communicated in their preferred way, with records clearly highlighting communication methods, including the use of body language and facial expressions.

The service continued to be well-led. There was a clear vision and direction from the senior management team that reflected on staff practice. Staff spoke positively of the registered manager, stating an open-door policy was practiced, which enabled staff to approach the management team and discuss any issues.

Good community links were created, and the service worked efficiently with visiting health professionals. The service continued to have good governance and reflective practice, ensuring compliance with the regulations.

Further information is in the detailed findings within the report.

The five questions we ask about services and what we found