Ivy House

Right culture People were at increased risk of receiving ineffective or unsafe care. The provider had not effectively monitored the quality and safety of the support provided. The service had not embedded a culture of improvement and had not made timely improvements to minimise risks to people. Issues identified at our last inspection had not been adequately addressed.

The service had not fully engaged people and those important to them in planning and developing the service. Feedback had been received from relatives and professionals, which was positive. However, there was a lack of systems in place to support people to give feedback about the service.

Right Care People's needs were not always thoroughly assessed before they moved into the service. Care and support plans did not always reflect the range of people's needs and provide sufficient guidance for staff on how to promote their wellbeing. Risk assessments for health did not always provide clear guidance for staff. Whilst people gave positive feedback about the support staff provided, these issues meant we could not be assured people would receive consistently effective and person-centred care.

The failure to fully meet the underpinning principles of right support, right care, right culture, meant we could not be assured that people who used the service were able to live as full a life as possible and achieve the best possible outcomes.

Right Support The service was small and well-integrated into a residential area, close to local amenities. People were supported in a clean and well-equipped environment, which had been designed to meet their needs and promote independence. However, some maintenance issues had not been identified and addressed, which put people at increased risk of harm.

People were not always 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.

People felt staff provided safe care, and systems were in place to report concerns. Staff had been safely recruited. Staff had training on how to recognise and report abuse and they knew how to apply it. Systems were in place to record and respond to any accidents or incidents that occurred. People received their medicines when they needed them. Staff enabled people to access specialist health or social care support when needed.

Staff followed government guidance in relation to COVID-19 to help keep people safe and manage infection prevention and control risks.