River View

People were supported to have maximum choice and control of their lives and staff sometimes supported them in the least restrictive way possible and in their best interests; however, systems in the service did not always support this practice. Best interest decisions were not in place for one person and the language used in their support plan may be interpreted in a restrictive way.

We made a recommendation about this.

Right Support: People had a clear communication plan detailing how best to support them. tailored visual schedules were in use to support their understanding. People were assisted with their medication in a safe and appropriate manner. Staffing was provided at safe levels that enabled people to access the community and activities with support from trained, competent staff.

Right Care: Care and support was person centred, and records reflected people's goals and outcomes. although these could be made more consistent. Staff training and supervision was relevant, we observed people positively engaged with the staff team and the atmosphere in the home was welcoming and warm.

Right Culture: Audits should be reviewed to ensure they capture all regulatory requirements and ensure risks are mitigated.

We made a recommendation about this.

The service had recently undergone considerable change in relation to transition and staffing changes. Now the staff team were more consistent and transitions for people undertaken, the registered manager spoke positively of embedding policy and practice regarding the areas for improvement we found. Staff told us they felt very supported by the registered manager.