Merrywick Hall

The service was a large home, bigger than most domestic style properties. It was registered to support up to 33 people and at the time of our inspection 33 people lived at the service. This is larger than current best practice guidance. However, the size of the service having a negative impact on people was mitigated by the building design fitting into the residential area and being varied.

People's experience of using this service We received positive views from people and relatives about the support provided to people. Care and support were tailored to each person's needs and preferences. People were supported to be involved in the local community and build on their independence.

People, their relatives and staff told us the registered manager was approachable and listened to them. The registered manager had reviewed and updated checks in place to monitor the quality of care provided. These were in the process of being implemented.

There were systems in place to safeguard people from abuse and staff demonstrated an awareness of safety and how to minimise risks. Recruitment checks were in place to ensure staff were suitable to work at the service. People were supported to take positive risks and be independent. Staff knew people's likes and dislikes and were effective at managing risk.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice. People received their medicines on time and their health was well managed.

People were supported with their communication needs and staff demonstrated effective skills in communication.

The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

For more details, please see the full report which is on the Care Quality Commission's (CQC) website at www.cqc.org.uk