River Meadows

There were enough staff to provide safe care. Healthcare professionals told us staff were always available to support their visits which ensured effective communication and sharing of information. Staff understood their safeguarding responsibilities and the registered manager understood their responsibility to follow local safeguarding protocols when required.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. Staff supported people's communication by giving people information in a way they would understand.

Staff were responsive to people's individual needs, although care plans did not always contain detailed information to help staff support people's emotional needs. There was a lack of physical and emotional stimulation for people but plans were being made to encourage more engagement and activities people enjoyed.

The registered manager understood the needs of the people living in the home, advocated on their behalf and was committed to improving the quality of care people received. However, checks and audits had not always identified when improvements were needed and governance systems were not consistently effective in supporting the management team to improve and maintain standards of care.