16 Spring Mount Harrogate

We have made a recommendation regarding person centred planning.

The service gave people care and support in a safe, clean and homely environment that met their sensory and physical needs. The communal areas were modern but not personalised. We found at this inspection the communal décor to be corporate. However, people had the option of personalising their bedrooms to reflect their preferences. .

The service adopted least restrictive practices supported by appropriate training underpinned by a positive behaviour approach. Each person had a positive behavioural plan that described de-escalation and support strategies that staff had to follow to respond to distress. Staff helped people to make decisions using methods that reflected people's communication styles and preferences.

People received the medicines they needed to support their health needs. The registered manager closely monitored the use of any 'when required' (known as PRN) medicines. These were managed in an individualised way.

Right Care The service had enough appropriately skilled staff to meet people's needs and keep them safe. The service tried to match staff with people's preferences to enhance their experiences. Staff knew people's individual communication styles well. They knew how to interpret their signs, gestures, behaviours and body language. They ensured people had access to information in formats best suited to their sensory needs.

Staff knew people well and responded to them appropriately and sensitively. People's care, treatment and support plans reflected their range of needs and promoted their wellbeing. People took part in activities. However, we found some outings were not always based on people's preferences.

Right Culture The service had a positive culture that focused on person-centred care however, meaningful outcomes for people were not always planned or recorded.

We have made a recommendation about person centred planning and setting achievable goals.

Feedback from people and their relatives reflected that staff understood the values of the service. Staff knew how to keep people safe and well and give them the best support they could in the least restrictive way. Staff knew and understood people well. They got to know people as unique individuals and personalities regarding this as a key element of person-centred care.