Dr. Ashdown's Stockton Lodge

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. The electronic care records needed some enhancements made to support staff to evidence the relevant documents had been completed. The registered manager had identified this gap in practice and had measures in place to ensure staff completed these in a paper format.

There were enough staff on duty and staff were recruited safely. People told us staff were caring and they felt safe. We observed staff deliver care and support in a kind and compassionate manner. It was clear staff understood people's needs and how to manage any presenting risks.

People were protected from abuse by staff who understood how to identify and report any concerns. Incident monitoring records were appropriately used to understand themes and reasons for the events. Medicine management was effective. Staff adhered to government infection control and prevention guidance.

The systems the registered manager had in place allowed them to critically review the service and proactively looked at how improvements could be made. Staff told us that the registered manager was approachable and listened to their views. People felt the registered manager was running a good service.

Staff were passionate about providing good care outcomes and took ownership for their practice. They had established good working relationships with all visiting professionals, and this had supported them to

deliver effective care and support.