Seahaven

Staff supported people with their medicines in a way that promoted their independence and achieved the best possible health outcome. However, when people were prescribed 'as and when' medicines for when they were distressed there was no guidance in place to make sure these medicines were given consistently and safely. At night there were times when people might have to wait to receive their 'as and when' medicines as not all staff were trained to administer medicines.

People were supported by staff who understood best practice in relation to the wide range of strengths, impairments or sensitivities people with a learning disability and/or autistic people may have. 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 were recruited safely and there was enough staff deployed to ensure people received the care and support they needed when they needed it.

People were assisted to achieve their aspirations and goals. Staff focused on people's strengths and abilities to learn and develop new skills. People pursued their chosen interests.

Right Culture:

Quality assurance systems were in place to monitor the service people received. However, they had not identified the shortfalls we found at this inspection regarding risk assessments and medicines.

People led inclusive and empowered lives because of the ethos, values, attitudes and behaviours of the management and staff. Staff placed people's wishes, needs and rights at the heart of everything they did. The stable management and core staff team supported people to receive consistent care from staff who knew them well. People received compassionate and empowering care which was tailored to their needs. People and those important to them, were involved in planning their care. People's relatives felt that there was good communication, and they were kept informed of any changes to people's wellbeing.

Staff evaluated the quality of support provided to people, involving the person, their families and other professionals as appropriate. All the relative we had contact with were complimentary and positive about the service and the care and support their loved ones received.

Right Care People were treated with kindness and care. Staff showed genuine affection in their approach. Staff knew people well. Day to day choices were offered to people and staff demonstrated a good understanding of people. Some people were not always encouraged to take an active role with tasks such as making meals and helping around the service. At times staff did things for people and not with them. Staff protected and respected people's privacy and dignity. They understood and responded to their individual needs.

Staff understood how to protect people from poor care and abuse. People indicated and said they felt safe living at Seahaven. We observed people to be relaxed in the company of staff. Safeguarding concerns had been responded to promptly. Staff had training on how to recognise and report abuse and they knew how to apply it.

Staff promoted equality and diversity in their support for people. They understood people's cultural needs and provided culturally appropriate care. People could communicate with staff and understand information given to them because staff supported them consistently and understood their individual communication needs.

People's care, treatment and support promoted their wellbeing and enjoyment of life.