Sheldon Ridge

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 empowered to make decisions they were able to. Where people were unable to verbally express their preferences, staff told us they made a decision for them based on their knowledge of the person's likes and dislikes and observed for their reaction. Where needed, they offered alternatives to people, which we saw during this inspection.

Right Care: An experienced and knowledgeable staff team provided effective care to people. Relatives consistently provided positive feedback about the quality of care provided by the staff team. Care was person-centred and put people and their families at the centre of their care planning. Staff were attentive to people's needs and skilled in identifying what people wanted. People's protected rights were understood and met by the staff team who showed a strong insight into their care and support needs.

Right Culture: There was a positive culture within the service. The management team expected an open and honest working environment and looked to improve the service and learn from mistakes. Diversity and inclusion was celebrated. Relatives and staff felt engaged and listened to. Relatives told us communication from staff about their loved ones was effective. Staff worked with a range of partners in the community to provide safe spaces for people to go to.

The management team developed a stable workforce which helped make for a positive culture. Staff felt supported through a program of induction, training and regular supervision meetings. They felt able to discuss their own wellbeing as well as talking about the needs of people living in this home. Effective systems of governance meant the provider had oversight of the running of the home.

The home was found to be clean, although some communal areas looked worn. Staff were actively working with the landlord to arrange repairs. Adaptations had been to the premises to meet people's needs. We

identified PRN (as required) protocols needed strengthening, to which the management team responded by immediately beginning this work. People received their medicines as prescribed. Staff received training in medication management and were assessed as competent to administer.

There were sufficient numbers of safely recruited staff to care and support people. Risks to people had been assessed, monitored and reviewed. People were supported to maintain a healthy and balanced diet. Dietary risks were understood and people's nutritional needs were being met. Staff knew how to recognise and respond to signs of ill health and were able to share examples with us.