Aykroyd Lodge

Right Support Risks to people's safety were not always managed and recorded well. 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. However, the policies and systems in the service did not always support this practice as capacity assessments and consent to care forms had not been reviewed or updated for a long period of time. We made a recommendation about this. Improvements were needed to the environment to ensure it was suitable for the people living at this service. There were enough skilled and experienced staff to safely care for people and recruitment processes were safe. We were assured IPC practices were safe. Staff supported people with their dietary requirements and to enjoy meaningful activities. Staff treated people with dignity and respect.

Right Care Medicines were mostly being managed safely. However, we identified shortfalls in this area. We made a recommendation about this. People's needs were assessed prior to them starting to use the service. However, care plans required work to ensure they were person centred and reflective of people's current needs. We made a recommendation about this. Although nobody at the service was receiving end of life care, records identified people's advanced decisions. People were treated well, and their individuality was respected.

Right Culture Governance systems were not always effective at improving the quality and safety of the service. Audits did not always identify concerns, and when concerns were found, there was limited evidence of what action was taken. There was a complaints procedure in place, but concerns were not always formally logged to identify trends and themes. Staff attended meetings and had regular supervisions. Staff were aware of their safeguarding responsibilities and felt comfortable raising concerns. People's communication needs were considered. Staff and relatives spoke positively of the manager.