Draycombe House

The service is also registered to provide personal care to people living in their own homes in the community. Personal care is help with tasks related to personal hygiene and eating. At the time of our inspection the service was not providing personal care to anyone living in the community.

Right Support: Although people felt safe, some aspects of the safety of the service needed to be improved. People were placed at risk because some risks had not been adequately assessed. The registered manager had not ensured checks were completed on the safety of the premises and equipment. The registered manager arranged for the risk assessments and safety checks to be carried out during our inspection.

The registered manager lacked knowledge of the checks required to be carried out on the premises and equipment. They undertook to seek support to improve their knowledge.

At our last inspection, people did not enjoy fulfilling and meaningful everyday lives because they were not supported to access activities in the community. Following our inspection, the registered manager had introduced opportunities for people to follow activities in the community, which improved people's quality of life. People told us they enjoyed the activities they followed in the community. One person told us, "We went to club last night, I like going to club."

People also enjoyed a range of activities in the home. Staff knew how people enjoyed spending their time and gave them support as they needed to follow the activities of their choice.

People had a choice about their living environment and had personalised their rooms. People told us they liked their accommodation.

Staff supported people to access routine and specialist health care services to ensure their health and

wellbeing. People were supported with their medicines in a way that promoted their independence and achieved the best possible health outcomes.

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. Staff supported people to make decisions following best practice in decision-making. They communicated with people in ways that met their needs.

Right Care: People received kind and compassionate care from staff who knew them well. Staff protected people's privacy and dignity, and treated people with respect. One staff member told us, "Each [person] has their own unique qualities."

People were protected from abuse. Staff understood how to protect people from poor care and abuse. The service worked well with other agencies to do so. Staff knew how to recognise and report abuse.

The service had enough staff to meet people's needs. People liked the staff and enjoyed laughing and joking with them.

People could communicate with staff and understand information given to them because staff knew their individual communication needs.

Right culture: At our last inspection we found the culture in the service did not maximise people's choices or support them to lead fully inclusive and empowered lives. At this inspection we found the culture in the home had improved and people were supported to enjoy a good quality of life.

Staff ensured risks of a closed culture were minimised so that people received support based on transparency, respect and inclusivity.

Staff placed people's wishes, needs and rights at the heart of everything they did. They knew people well and were responsive, supporting them to live a quality life of their choosing.

People and those important to them were involved in planning their care. Staff knew how to give people choices about their lives and support, and respected the decisions they made.