North Lincolnshire Council Home First Residential

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

People continued to be protected from harm and abuse and risks to people safety were managed whilst respecting their freedom. People received their medicines as prescribed and systems were in place to prevent the spread of infection. The environment was clean, comfortable and aided people's rehabilitation. Lessons were learned from accidents and incidents. Staffing levels and recruitment processes remained safe.

Staff had the skills and knowledge to meet people's needs and support them to achieve positive outcomes. Training needs were identified through appraisals and supervision which, was used to embed learning. People's dietary needs were met and they were supported to access health services in a timely manner. Staff sought consent from people.

People were supported by staff who showed kindness, respect and compassion and built positive relationships with people in a short amount of time. Equality and diversity was considered and people were included in decisions, care planning and activities. Staff maintained people's privacy, dignity and confidentiality whilst promoting their independence.

Staff were responsive to people's changing health needs and ensured care plans were reviewed and updated accordingly. People were included in activities that reduced isolation and aided their rehabilitation. People were respected as individuals and support was available to ensure people had pain- free and dignified deaths. A policy was in place to provide information in line with the accessible information standards (AIS). Complaints were responded to in line with the providers policy.

The registered manager led by example and promoted an open, honest and inclusive culture. People and staff were included in the development of the service. The service worked closely with other organisations and was integrated within the local community.

Audits were completed but had not identified or addressed all shortfalls in quality. Policies were in place but now always followed. We have made a recommendation about this.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

Further information is in the detailed findings below

The five questions we ask about services and what we found