Freshfields

The service is purpose built and all accommodation and facilities are ground floor level.

People's experience of using the service and what we found The service had made significant improvements since our last inspection. Systems and processes had been overhauled to address the breaches of regulation and to help improve the safety and quality of care provided. Further time was required to evidence these improvements were embedded through sustained governance.

Medicines were managed safely. People received their medicines as prescribed by staff who were competent to administer them.

Risks to people's health, safety and well-being were assessed and care plans had been re-written to ensure staff had access to information about how to manage people's identified risks and support them in a safe way.

Since the last inspection, the reliance on agency staff had decreased, a more stable team structure was in place. People received care by staff they knew and who were familiar with their needs and preferences. There were enough staff on duty to meet people's needs in a timely manner.

Staff were recruited in a safe way and underwent an induction to help prepare them for working at the service.

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. Consent for care and support was being obtained in line with the principles of the Mental Capacity Act (MCA) 2005.

People's needs were assessed and planned for in line with best practice. Staff had access to information about how to support people based on their current needs, helping to ensure people received care based on their individual needs and preferences.

Since the last inspection, improvements had been made to the environment to help better support people with dementia or cognitive impairments to navigate the home.

We received consistently positive feedback from people and their relatives about the care and support provided by staff.

Governance systems had been overhauled to ensure they were effective at identifying issues and driving necessary improvements to the quality and safety of the service.

Since the last inspection, the former registered manager had returned to the service and had been instrumental in taking the appropriate action to address the issues we found. They and the provider had worked closely with the Local Authority to make positive changes and enhance the daily living experience of people using the services of Freshfields.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk