St Augustine's Care Home

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. However, appropriate applications for deprivation of liberty when people required constant supervision and could not leave the home on their own were not always in place. People's consent for care was not always appropriately recorded.

The provider did not always have fully embedded and effective governance systems in place. Some improvements had been achieved in recent months, for example, around staff training, recruitment and management of medicines. However, other identified shortfalls had not been successfully addressed yet and there was limited assurance around how the management team maintained an effective oversight of the quality and safety of people's care.

There were enough staff to support people safely and new staff had to undergo a range of checks to ensure their suitability. People and their relatives told us they felt the home was safe. Staff knew how to raise concerns and felt able to speak up when needed. People received safe support with medicines and eating and drinking.

Staff supported people in person-centred way. People were encouraged to do what they liked. Staff knew their individual preferences, wishes and lifestyle choices and provided care in a respectful and caring way.