Coast Care Centre

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; however, the policies and systems in the service did not support this practice. Some mental capacity assessments were not decision specific and it was not consistently clear who was involved in best interest meetings. Similarly, this was raised with the registered manager who took steps to improve these documents.

We found one care plan lacking detail about a person's care and support. This was again immediately addressed by the registered manager and we were reassured from speaking with staff that staff knew the person well and there were no immediate risks to their welfare.

The registered manager had promoted a positive culture at the service which resulted in an engaged staffing team which ensured good outcomes for people. People, relatives and staff were all given opportunities to feedback about the service and people's cultural and personal differences were respected and celebrated.

People told us they felt safe and staff were able to tell us about how they managed risk and reported concerns. We saw enough staff during the inspection to support people and medicines were administered safely. People lived in a clean environment and infection prevention and control policies were in place and put into practice. Accidents and incidents had been reported, reviewed by the managers and any learning to support people in the future was shared with staff.

People's care was provided in a person-centred way and people were supported with their communication needs. There were activities for people that could be done in a group or as one to one support. People and their relatives told us they were confident to raise issues and complaints if they needed to and had confidence that concerns would be acted on in most cases. Staff had completed training in end of life care and knew the important aspects of care and support for people at this important time.