The Paddocks

We assessed all eight quality statements in this key question, learning culture, safe systems, pathways and transitions, safeguarding, involving people to manage risks, safe environments, safe and effective staffing, infection prevention and control (IPC) and medicines optimisation. Systems were now in place to ensure safety was effectively managed. The service had effective safeguarding systems, and staff had a good understanding of the actions to take to make sure people were protected from harm. Care planning information provided detail about how to meet people’s needs and to minimise distress for people and reduce the risk of safeguarding incidents. The service learned from incidents and shared learning to reduce the risk of similar incidents. Staff were recruited safely and received training to meet people’s needs. Staff demonstrated a good understanding about people’s needs and the support they should provide. Relatives felt people were supported safely and were aware of incidents and actions taken by the registered manager.

We assessed all six quality statements in this key question; assessing needs, delivering evidence-based care and treatment, how staff, teams and services work together, supporting people to live healthier lives, monitoring and improving outcomes and consent to care and treatment. We found people’s care, treatment and support now achieved good outcomes and promoted a good quality of life. People’s needs and choices were assessed and considered peoples diverse needs and preferences. People were now supported in accordance with the Mental Capacity Act. Staff demonstrated a good understanding of the need for consent and supporting people to make decisions about their care. Staff and teams worked closely to ensure timely and effective care.

We assessed all six quality statements for this key question, these were kindness compassion and dignity, treating people as individuals, independence, choice and control, responding to people’s immediate needs and workforce wellbeing and enablement. People now received good care. Leaders and staff understood people’s needs well and ensured people were supported in a caring and dignified way. People were treated as individuals and participated in decisions. Staff felt supported by leaders and were enabled to have a good work-life balance.

We assessed all seven quality statements relating to this key question, these were in relation to: person centred care, care provision, integration, and continuity, providing information, listening to and involving people, equity in access, equity in experiences and outcomes and planning for the future. People now received person-centred care that was tailored to meet their individual needs preferences and choices. Care plans were detailed and guided staff about people’s needs and how to meet them. People, relatives and staff were asked for feedback from the service and actions were taken following feedback. People were supported to appointments and activities in a way that meets their needs and preferences.

We assessed seven quality statements relating to this key question, these were in relation to; shared direction and culture, capable, compassionate and inclusive leaders, freedom to speak up, workforce equality, diversity and inclusion, governance management partnerships and communities and learning improvement and innovation. Systems were now in place to ensure good governance in the service. The registered manager and leadership team had good oversight of the service. The leadership team supported the registered manager to ensure the service was managed in line with best practice and current legislation. Leaders ensured audits and feedback from people and staff were completed, evaluated and actions were taken to make improvements. Care and support plan information was clearly documented and reviewed regularly. The registered manager cultivated a positive team culture to ensure care was person-centred and in line with right support, right care, right culture guidance. Relatives, partners and staff spoke positively about the leadership team.