Olive House Home for Older People

Staff supervisions were not happening in line with the provider's policy, the provider had put a plan in place to address this over the next 3 months. Appropriate staff training was in place and people were supported with food and fluid intake, though records relating to this was not always completed. People's needs were assessed, and people were supported with their health care needs. Although some adaptations had been made to the home to meet the needs of the people living there, further improvements were needed.

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, though we found that people who lacked capacity did not always have the appropriate paperwork in place to support restrictions in place. We made a recommendation about this.

Equality and diversity was respected and staff completed training in this area. People's privacy and dignity was respected, and records were securely stored. Staff were kind and people were able to express their views.

Complaints were not always handled in line with the homes policy. Records were not always person centred. People told us they were involved in their care planning, and they were able to make everyday choices. Records relating to people's communication needs required more detail. An activities coordinator supported people to take part in activities and people were supported to have visits from loved ones. The service was not supporting anyone who was end of life at the time of the inspection.

Shortfalls in governance were identified during the inspection. This included poor recording and ineffective audits. Necessary information was being sent to the local authority and CQC. The management team was aware of their responsibility under the duty of candour and spoke about being honest when things go wrong. People and staff spoke positively about the management and the service worked in partnership with the local authority and various health teams. Meetings with staff, people and their relatives were taking

place and some surveys had been carried out.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.