Coombes Wood House

Risks to people were effectively assessed and monitored. Medicines were managed safely. Staffing levels were monitored to ensure people were supported safely. People were safeguarded from abuse. Effective infection prevention and control systems were in place.

Staff received regular training, supervision and appraisal. Staff all spoke positively about their experience working at Coombe Wood House, especially praising the registered manager and deputy manager.

People received effective support with eating and drinking. Staff worked well with external professionals to ensure people received the support they needed. Health professionals praised the staff for positive outcomes when supporting people with complex needs.

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.

People received personalised support based on their assessed needs and preferences. A range of activities took place and people were supported to maintain their relationships and interests. The provider had a complaints procedure in place.

The registered manager and provider maintained good governance systems. Monitoring of activities for individuals, re-positioning and food and fluids required a more robust system but this was put in place during the inspection and staff were knowledgeable about what to do. Feedback was regularly sought and acted on. People, relatives and staff spoke positively about the culture and values of the service.