Bowens Field

People were supported to take their medicines by staff who had received medicines training. Staff demonstrated a good understanding about how to recognise abuse and how to safeguard people from this. People were supported by staff to ensure they ate and drank sufficient amounts to maintain their health.

People were able to access relevant healthcare services when needed to promote their physical and mental health. People's involvement in their assessment and care planning ensured they received a service the way they liked. Staff were kind and friendly and people could be assured their right to privacy and dignity would be respected.

The provider accepted the need for some remedial decoration and plans were in place to start this work. However, we found the environment did not pose a risk to people living in the home. Staff were aware of when people were unhappy and took the appropriate measures to resolve their concerns.

Staff supported people to have the maximum possible choice, control and independence be independent and they had control over their own lives.

Right Care The provider's quality monitoring systems were ineffective to ensure safe practices. We found risk management placed people at risk of potential harm. Insufficient staffing levels meant people's assessed needs were not always met. Infection, prevention and control measures were not robust and placed people at risk of contracting avoidable infections.

At the time of the inspection no one was receiving end of life care and there was no information in place to show this had been discussed with people. Staff protected and respected people's privacy and dignity. They understood and responded to their individual needs.

Right culture The ethos, values, attitudes and behaviours of leaders and staff ensure that people using the service lead inclusive and empowered lives.

Staff knew and understood people well and were responsive, supporting their aspirations to live a quality life of their choosing.

Although, the registered manager was on long term leave. Appropriate arrangements were in place to ensure the management of the home. Both the deputy manager and the regional support manager demonstrated a good understanding of people's needs and had clear direction of planned improvements for the home in the future.