Culliford House

There were enough staff to meet people's needs and there was a core of staff who had worked at the home for a number of years. Staff understood and anticipated people's needs which contributed to the calm and homely atmosphere at the home.

Staff knew people well and how to identify, assess and mitigate any risks to their safety. Medicines were managed safely and effectively by staff who were trained and competent to do so.

Staff received training, support and supervision. Staff told us they felt well supported to carry out their roles and told us everyone worked very well together as a team for the benefit of the people living at Culliford House.

People had access to nutritious, home cooked food that they enjoyed and were given choice in their menu selections.

People were supported to maintain their independence and have maximum choice and control in their lives. Where people lacked mental capacity to make decisions, these were made in line with the Mental Capacity Act and staff supported people in the least restrictive way; the policies and systems in the service supported this practice.

Care plans were person centred and they detailed how people wished and needed to be cared for. There was a happy relaxed atmosphere with a wide variety of activities and social stimulation for people. People were able to make choices about their day to day lives and were encouraged to continue to follow their interests.

There was an open and positive culture within the home and people, their relatives, staff and professionals told us the registered manager/provider and management team were approachable and helpful.

There were governance arrangements in place and systems to monitor the quality and safety of the service provided. The registered manager/provider took immediate action to address some governance shortfalls identified at the start of the inspection. This had been as a result of a short period of time where the registered manager/provider and management staff had needed to cover care and catering roles at the home. A new management team and structure were implemented to minimise the risk of any reoccurrence.