Diamond House

Improvements to the cleanliness and hygiene in some parts of the service was required. Immediate actions were taken to make these improvements.

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. However, improvements were required in how MCA assessments and best interest decisions were documented.

Staff deployment in 1 building was not consistently adequate, to meet people's needs and safety. Immediate action was taken to improve staffing.

Staff training had improved, but gaps were still evident in some areas. Staff were recruited safely and received opportunities to review their work, training, and development needs.

Care documents used to provide staff with detailed guidance of how to meet people's known risks and individual care needs, were being reviewed and updated. Where completed, guidance was detailed and reflected people's needs and preferred routines.

Risks associated with fire safety had improved and were being monitored. Staff were aware of their responsibilities to protect people from abuse and avoidable harm.

People were positive about the choice and quality of food and drinks. People's individual dietary needs were known, understood, and monitored.

People's health needs were monitored, and staff worked with external health care professionals, in supporting people to achieve positive outcomes.

People received care that was respectful, compassionate, and dignified. Choice and independence were promoted. People were positive about the caring approach of staff, whom they believed knew and

understood their needs well.

People received opportunities to participate in group and individual activities based on their interests and hobbies. A new document to reflect people's end of life care wishes had been introduced. People's diverse and cultural needs and preferences were recorded and understood by staff. People's individual communication needs had been assessed.

People, visitors, and staff received opportunities to share their experience to help develop the service. Staff were positive about working at the service and improvements had been made to the frequency of staff meetings and communication. Staff competency checks had been introduced and were an effective way to measure staff skills and learning needs.

The registered manager and provider understood their registration regulatory responsibilities. The last rating for the service was clearly displayed.