Scissett Mount

A wide selection of audits were being carried out, although these were of a variable quality. Audit scores were not fully reflective of the issues identified. Audits identified that some people needed risk assessments for behaviour which may challenge others and falls, although the timescale for these actions did not reflect the urgency associated with the risk. The home manager's daily walkaround had not been recorded for approximately 6 weeks and this task had not been delegated to anyone else. There had been insufficient monitoring of maintenance checks.

The management of medicines was not always safe. Some medicines for 2 people were signed for on the wrong day and risks to another person were not sufficiently recorded in their 'as required' protocol. Medicines administration was safe, and staff were trained and had their competency checked.

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. However, mental capacity assessments were not in place for some people. Action was being taken to address this. People were given choice in different aspects of their daily living.

People and relatives consistently told us they felt safe and protected from harm. Safeguarding systems were used to record concerns, which we could see were followed up.

Staffing levels were sufficient to meet people's needs. Staff were recruited safely as relevant background checks had been completed. A small group of people were part of the interviewing panel when the role of home manager was being recruited to in 2023.

People and relatives provided positive feedback about Scissett Mount. Staff we spoke with reflected positively on the management team and said they felt supported. Meetings for people, relatives and staff were taking place and opportunities to feedback were available.

The provider developed strong working relationships with partners in the community. Weekly clinical

meetings were effective in discussing people's changing needs. An inter-generational reading event received positive feedback.

The management team were eager to make the necessary improvements in the service and were working with the local authority as well as a registered managers' network.