Old Rectory (Bramshall)

People's care and support needs had not always been fully assessed when their needs had changed and there were some inconsistencies and inaccuracies people's care folders. Staff were supported and received training, supervisions and team meetings, however, some training was not always effective.

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 always support this practice and improvements were needed in relation to the Mental Capacity Act.

People, relatives, and staff felt able to make suggestions and raise concerns with management, who were visible and accessible. There were enough staff on duty to support people safely. Infection prevention and control was well managed. Visitors were able to visit people living in the service without restrictions.

People were treated with dignity and respect and staff promoted people's independence. People, relatives and staff were consulted, and their views were considered and acted on where appropriate and possible. People's care plans were personalised and activities were arranged and took place in the home. People's communication needs had been considered as part of their care planning.

Lessons were learned following accidents and incidents. The registered manager understood their duty of candour and worked in partnership with other health and social care professionals.

There were enough staff to support people and the provider explained they were continuing with on-going recruitment of staff. Infection prevention and control was well managed. Visitors were able to visit people living in the service without restrictions and the provider learned lessons when things went wrong.