St Clare House

People's care plans and risk assessments had not been reviewed and updated as their needs changed. Whilst people's medicines were mostly managed safely, action was needed to ensure good practice guidance was consistently followed. There were some environmental risks, which needed to be addressed. For example, to ensure robust window-opening restrictors were in place and to check and make sure all areas of the service were thoroughly cleaned.

We could not be certain people were supported to have maximum choice and control of their lives or that staff supported people in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice. We made a recommendation in relation to the Mental Capacity Act 2005.

The provider and registered manager were extremely responsive to feedback and took immediate action to address concerns. Whilst no one had been harmed because of the concerns we found, we spoke with the provider and registered manager about developing their approach to auditing to ensure issues would be proactively identified and addressed in future.

People felt safe living at the service. Staff were safely recruited, and sufficient numbers of staff were deployed to meet people's needs.

The registered manager was very approachable and with people, their relatives and professionals to help ensure people's needs were met and improve their quality of life. They were committed to providing person- centred care and promoted a person-centred culture within the service.