Abbeyfield House

Right Support 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. People were supported by staff to pursue their interests, so people had a fulfilling and meaningful everyday life which included leisure activities and voluntary work.

Systems were in place to oversee the service; however, these were not always effective and prompt, and effective action was not always taken to address areas for improvement, in particular the environmental issues we found on this inspection.

Systems to ensure staff had completed the relevant training or received regular support in the form of supervisions were not in place or being used effectively. The registered manager took immediate action to address this following the inspection. There was a consistent team of staff who knew people well and any gaps in rotas were covered through the use of bank staff or agency. There was not enough oversight of the agency staff to ensure they were suitably skilled and given an induction to the service, but this was immediately addressed by the service.

People were receiving their medicines as needed but medicines were not always suitably stored and maintained.

Right Care People received kind and caring support. Staff understood and responded to people's individual needs and knew how to protect people from poor care. Recruitment checks were in place to ensure staff were suitable and any gaps in the rotas were covered to ensure there were sufficient numbers of staff to support people to live their daily lives. People's safety and care needs were identified, and care was planned to ensure their needs were met.

Right Culture There was a positive and person-centred culture at the service. Staff knew and understood people well and were responsive, supporting them to live a quality life of their choosing. People and those important to them were involved in planning and reviewing care.

There were systems for oversight, but these were not always effective in ensuring all areas for improvement were identified and actioned in a timely way and accurate records were being kept. The management team were very responsive to feedback.