Lower Meadow

The governance and oversight of the service had improved, but we found further progress was required to ensure records accurately reflected people's needs and records to evidence risk management were completed accurately.

There were enough staff to keep people safe. Staff told us staffing levels were sufficient but acknowledged there were times when they were very busy. They told us staff worked as a team to ensure people's needs were met.

Risks to people's health and wellbeing had been identified and records guided staff on what to do to minimise identified risks and help keep people safe. Staff understood their responsibility to report any concerns or poor practice and the manager had had made safeguarding referrals to external professionals when necessary. Any learning from accidents and incidents was shared with staff so they could understand where changes in practice were required.

Medicines were ordered, stored and administered safely.

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.