Bryher Court Nursing Home

Care plans and records did not always contain all the information staff needed to support people. An audit system was in place but this had not identified all the shortfalls we found. The manager and provider had oversight of the service and had implemented improvements which needed further time to be embedded into everyday practice. This included training, quality assurance feedback and accident and incident monitoring.

The home was clean and tidy throughout. Systems were in place to help ensure people were protected from the risk of infection. Staff understood safeguarding risks and procedures and knew what to do if concerns were raised. People were supported to receive their medicines when they needed them. There were enough staff working in the service to meet people's needs.

People told us they were happy living at the home and we observed an open and friendly relationship between staff and people. Staff knew people well; they understood peoples care and support needs and were committed to providing good care. One staff member said, "We always try to do our best for people." We identified areas that suggested care and support was not always person-centred. The provider and manager addressed this immediately. People, relatives and staff told us there was a positive culture at the home. They said the manager was approachable and they could speak with them at any time.

People were supported to maintain and improve their health with support from health care professionals. People were supported to have enough to eat and drink throughout the day to meet their nutritional and health needs, individual choices and preferences.

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. The service provided care and support to 2 people with learning disabilities and autism. The manager was aware of the principles of RSRCRC. At the time of the inspection these people's needs required care from nurses due to their health needs .