Langbury House

People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice.

Right Care: Staff did not always communicate or support people in dignified or respectful ways. Improvements were needed to make sure people were involved and included in a personalised way when being supported by staff. Professionals who worked with staff and relatives of people at the service gave us mixed feedback about the quality and safety of the support people received.

People and their relatives gave us mixed feedback about how involved and engaged they were with planning their support or developing the service, to help them achieve good outcomes.

Right Culture: Leaders and the culture they created did not always support the delivery of high-quality, person-centred care. Internal quality assurance systems and processes to maintain and develop the safety and quality of care were not always operating effectively. Staff and relatives told us some aspects of the culture and leadership of the service required improvement to ensure people achieved good outcomes from their support. Staff, relatives and management told us on-going staffing turnover and vacancies at the service were impacting on staff morale and performance.

The provider was aware of and were committed to providing resources to make any necessary improvements as quickly as possible. Staff equality and diversity was respected and promoted at the service and within the provider's organisation.