Milligan Road

Improvements had been made to how incidents were recorded and responded to. Further action was required to ensure documentation and management oversight was consistently completed. incidents were analysed and there was evidence of lessons learnt and action taken to reduce reoccurrence. However, further action was required to ensure patterns and trends were fully considered and debrief meetings were routinely completed to support learning opportunities.

Improvements had been made to how medicines were managed and administered. People received their prescribed medicines as prescribed and safely. Staff had detailed guidance to support them to administer medicines safely. There had been a reduction in the use of prescribed 'as required' (PRN) medicines, used for agitation and heighten anxiety.

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.

Right Care: Improvements had been made to ensure people received care and support that met their individual care and support needs. People were protected from the risk of abuse and avoidable harm. Any restrictions and conditions imposed by DoLS authorisations, were documented, regularly reviewed and monitored.

People were supported to access health care services and support. Information was shared with external health care professionals in a person's ongoing care. People received sufficient to eat and drink.

There were sufficient skilled and competent staff to meet people's individual care and support needs. Staff

clearly knew people well. People received opportunities to lead active and fulfilling lives, social inclusion and independence was promoted as fully as possible.

Right Culture: Improvements had been made since the last inspection and these were ongoing. Whilst sufficient actions had been completed to meet previous breaches in regulation, further time was required for new and improved systems and processes to become fully embedded and sustained.

The new management team had worked hard to make improvements; they were open and honest during the inspection and showed a commitment to further develop the service.

Staff were positive about the improvements made and felt well supported. Staff received ongoing training and opportunities to discuss their work, training and development needs.

Feedback from people and relatives were positive about how well staff met people's individual care and support needs.