Tristford

The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.

Right support ● People had choice and control over their lives. They set goals with staff and were supported to develop and maintain their independence.

Right care ● People planned their care with staff and told us staff supported them in the way they preferred. People were supported to maintain relationships with their friends and family and make new friends when they wished. They told us they had privacy and staff treated them with dignity and respect.

Right culture ● People were supported by experienced staff they knew well. There was a clear ethos of care with all staff valuing people's independence and autonomy. This was supported by the registered manager and provider. One person told us they had "freedom" to do what they wanted.

People told us they felt safe living at Tristford. One person told us, "I couldn't live in a better place". Staff knew how to identify and report any safeguarding concerns. People were confident to raise any concerns they had and told us staff always acted on concerns they raised.

There were enough staff with the skills and competence to meet people's needs. People described the staff as "brilliant", "fantastic" and "I couldn't ask for better people".

Risks to people had been identified and assessed. Action had been taken to support people to remain

independent and any risks associated with this had been assessed and reduced. Lessons had been learnt when things had gone wrong and the provider had taken action to prevent similar incidents occurring again. People's medicines were managed well, and they received their medicines as prescribed.

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. The registered manager knew when and how to apply to deprive some people of their liberty in their best interests. People were not restricted and were free to come and go as they pleased.

The service was clean, and people were protected from the risk of the spread of infection. People's rooms had been personalised and they considered the service to be their home.

The service was led by the registered manager. Staff felt supported and were clear about their roles and what was expected of them. Checks on the quality of the service were completed regularly and action was taken to address any shortfalls found. People, their relatives and staff had been asked for their feedback on the service and this had been used to make improvements.