Cabot House

Right Care We observed people receiving kind and compassionate care. People seemed at ease around staff and there were friendly conversations which involved a good deal of smiling and laughing. During the inspection we observed each person using individual and specific communication methods to communicate with staff. This included Makaton (a type of sign language), pictures, assistive technology, body language and written text. One staff told us. "Communication can be a challenge, but we are constantly learning." People's health needs were supported, one relative told us, "They had been very conscientious about the vaccinations and the dentist and are up-to-date." The staff told us they prepared people for health appointments as they could be difficult for some people to understand and they worked with local health professionals to try to make it as easy as possible for each person."

Right culture

The provider had a positive behavioural support (PBS) lead person who helped managers and staff understand the reasons people might behave in a certain way when distressed and discussed with staff ways to support them. Managers and staff knew how to analyse incidents and share the learning from them to reduce situations which cause people distress. People who had sensory perception and processing needs had health professional sensory assessments. Investment in learning for managers and staff was reflected in staff practice. People and most relatives told us they could talk to managers and staff freely. One person said, "I like (registered managers name), they are very good." Staff told us they felt supported by the registered manager and the organisation. They said they were confidant to raise issues and knew they would be listened to.