Fairmount

People's experience of using this service: Outcomes for people using the service reflected the principles and values of Registering the Right Support. People were supported on a daily basis to make choices in all areas of daily living from what they ate and drank to what clothes they chose to wear and activities they pursued. People where provided with opportunities that enabled them to gain independence and supported them to pursue new skills.

Risks to people's health and safety had been identified and actions were in place to ensure risk was minimised. Consideration had been given to ensure that any actions identified placed minimal restriction on the persons day to day life. Staff were aware of the actions to take if they thought anyone was at risk of harm or discrimination. Incidents and accidents were well managed. Medicine procedures and systems were robust.

Staffing numbers were reviewed and assessed dependant on people's needs. Care and support were delivered in line with current legislation and evidence based guidance. Regular reviews were completed to ensure peoples outcomes were being met and they were being supported in the least restrictive way to encourage their independence. People were encouraged to make choices and decisions.

Staff had access to appropriate training and support to ensure they could meet people's complex needs. New staff completed a full induction and all staff had access to regular one to one support by management.

People were supported to have a varied and nutritious diet. A relative told us they were impressed with the choice offered to people. People had the opportunity to participate in food preparation and cooking and some people enjoyed going out for meals.

Staff knew people well and demonstrated a clear understanding around equality and diversity. They were able to support people to do individual tasks and activities of their choice. Peoples individuality was explored and encouraged with activities and pastimes adapted to meet their needs. Respecting people's privacy and dignity was embedded into the culture of how care was provided at Fairmount. Staff communicated well with people in a way they could understand.

Care plans included detail which enabled all staff to provide consistent person centred care which had been tailored to ensure the maximum opportunities for people to explore activities and experiences of their choice. Activities varied from person to person and staff knew the things people liked to do and what they enjoyed.

The home had an open culture. A robust system was in place to report and investigate complaints. Feedback from visitors was positive.

People's end of life wishes had been discussed and documented. Fairmount was people's home and the emphasis would always be on people being able to stay at home until they died. However, if this was not appropriate then staff would work closely to ensure the transition to another health setting was as stress free as possible.

Regular checks and audits were carried out to ensure the quality and safety of care being provided.