James Terry Court

Health and safety checks were carried out of the premises and equipment to make sure they were safe. The premises was clean and tidy. Staff followed infection control and hygiene practice to reduce the risk of infections. Although staff did not routinely wear face masks at the service in line with current government guidance, the provider had taken action to ensure infection risks to people were mitigated.

People were involved in planning and making decisions about the care and support they required. People's records set out their preferences for how their care and support needs should be provided. Staff understood how people's needs should be met and provided the care and support which had been planned for people. Staff were provided with relevant training to help them meet people's needs. Staff were well supported and encouraged to learn and improve in their role and to put people's needs and wishes at the heart of everything they did.

Staff were kind, caring and treated people well. They supported people in a discreet and dignified way which maintained people's privacy and independence. 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.

People were supported to stay healthy and well. Staff helped people to eat and drink enough to meet their needs and to take their prescribed medicines. Medicines were managed safely. Staff supported people to manage their healthcare and medical conditions and made sure people could access support from healthcare professionals when needed. The service worked well with other healthcare professionals to ensure a joined-up approach to the care and support people received.

People were supported to participate in a wide range of activities and events at the service. Relatives and

friends were free to visit people if they wished without any unnecessary restrictions. There were a range of comfortable spaces around the premises where people could spend time , when not in their room. Since our last inspection the provider had improved the premises to make this a more comfortable and pleasant place for people to live. Further refurbishment was planned.

The service was managed well. People and staff spoke positively about the management of the service, particularly the new registered manager who had been appointed since our last inspection. The registered manager and senior staff team were experienced and had a clear understanding of how people's needs should be met. They undertook audits and checks at regular intervals, to monitor, review and improve the quality and safety of the service. The provider undertook their own checks of the service at regular intervals to make sure the service was meeting required standards.

There were systems in place to obtain feedback from people, staff and others about how the service could be improved. Accidents, incidents and complaints were fully investigated and people were informed of the outcome.