Ruddington View

People's experience of using this service: People received safe care and support. Improvements had been made to how incidents were managed. This included more robust ways of involving people and staff, with an emphasis on how lessons could be learnt. Staff had received additional training in positive behavioural support and improved support and communication had impacted on people experiencing positive outcomes. Least restrictive practice in the care and support people received had greatly improved. Staff were very positive about the support and leadership of the service. This had resulted in them gaining a greater awareness, understanding and confidence in meeting people's complex needs.

The use of agency staff had reduced and was only used to cover short notice absenteeism. This meant people were supported by a consistent staff team whom they could develop positive relationships with. Safe staff recruitment procedures were used to appoint new staff. Staff received a structured and supportive induction, ongoing training and regular opportunities to discuss their work, training and development needs.

People received their prescribed medicines safely and when they needed. Improvements had been made to guidance on medicines used 'as required' and national best practice guidance was followed.

The environment met people's needs and safety. Improvements had been made to safety and access to outdoor space. The service was clean and infection control practice was understood and followed.

People received sufficient to eat and drink. People were involved in menu planning and independence was promoted. People are 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 with any health conditions and accessed health services to maintain their health needs.

People were positive about the staff who supported them, who showed great care, understanding and compassion. Positive engagement was seen between staff and people who used the service, where independence and choice were promoted, encouraged and respected.

Support plans that provided staff with guidance of how to meet people's needs had improved. However, further time was required to ensure information was sufficiently detailed to enable staff to be responsive to people's needs. People received opportunities to pursue interests and hobbies and social activities an

inclusion was being further developed. People were involved in discussions and decisions about their care as fully as possible.

Staff were clear about their roles and responsibilities and improvements had been made to the systems and processes that monitored safety and quality. The provider had an ongoing action plan that confirmed what action had been completed to make improvements with targets for future work.

The service met the characteristics of Good. The inspection found significant improvements and the breaches in legal requirements had been met. Further time was required for improved systems and procceses to be fully embedded and sustained.