Devon Lodge

Whilst this inspection found that many improvements had been made, the service was not able to demonstrate how they were meeting all of the principles of Right support, right care, right culture.

Right support: We continued to find that risks relating to people's medicines were still not always effectively assessed, planned for and mitigated. We were assured that that people were being more appropriately supported to have a fulfilling and meaningful life that included achieving, or working toward, goals and aspirations. The environment was more homely, clean and better maintained. The service continued to plan for when people experienced periods of distress and this enabled staff to respond in a safe and effective manner. Staff continued to provide support in the way each person preferred and decision making followed best practice frameworks.

Right care: People were not always supported to have maximum choice and control of their lives and it was not always evident that staff had considered less restrictive options before limiting people's choices. Overall, care and support plans reflected a good understanding of people's needs. Improvements had been made which ensured that there were sufficient numbers of familiar staff available to provide a personalised response to people's needs. Staff understood how to protect people from abuse.

Right culture: The registered manager had not always effectively operated the systems that were in place to monitor the quality of the service people received. People's care continued to be enhanced by the involvement of a team of specialists employed by the provider, who worked closely with the support staff to develop a collaborative and problem solving approach to people's support. However, there continued to sometimes be a disconnect in practice between how staff told us people best communicated and the communication methods and styles documented in their care and support plans. Overall improvements had been made to ensure that staff had been recruited safely. Staff told us the registered manager performed their role effectively. They felt valued and involved in developing the service. Relatives and staff all told us the service had improved and they were happy with the changes.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk