Tomswood Lodge Limited

People were able to choose where they lived. The service was able to assess people's needs before they began living at the service, so they knew whether they could meet their needs. Staff were supported through training to gain knowledge and skills to help them in their role. People were supported to eat a balanced diet and were able to choose what they ate. People were supported to maintain relationships with family and friends, and to engage in meaningful activities.

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.

Right Care: Care was not always person centred. Care plans and risk assessments were not of a satisfactory standard which meant people might not get the care and support they needed in a way that was safe. Medicines were not always managed safely.

There were enough staff working at the service to meet people's needs and the provider had robust staff recruitment practices in place. Infection control and prevention systems were in place. Accidents and incidents were reviewed to see if any lessons could be learnt from them. Staff understood how to support people in a way that promoted their privacy and dignity. People had access to healthcare professionals.

Right Culture: The leadership of the service was not adequate. There was a lack of communication between senior staff. The registered manager received no formal supervision. Quality assurance and monitoring

systems were not always effective in identifying areas for improvement at the service.