Cambrian

We found that some processes needed improvement to evidence more effective quality assurance systems. Governance checks had not identified issues raised during the inspection with regards to managing staffing levels, reviewing the model of support within a communal environment and management of notifications. Following, the inspection the registered manager submitted appropriate updates to CQC.

We received positive feedback from people being supported. They told us staff were supportive and always consulted them about their support plans.

Support plans provided person-centred information, which included people's preferences and choices. We found that people were supported to maintain as much independence as possible.

People were protected from the risk of abuse or neglect. Staff were well trained in safeguarding vulnerable adults. Staff were skilled and knowledgeable. Systems and processes were in place to reduce the risk of harm. Thorough recruitment practices were in place to provide safe systems to ensure new staff were suited to working with vulnerable people. Staff recorded incidents and accidents in sufficient detail to aid analysis and reduce risk.

Medicines were well-managed and regularly audited to provide safe checks and support. Some people were supported to self-administer their medication.

We found that staff had received training in the Mental Capacity Act 2005 (MCA). People were supported to make their own decisions whenever possible.

The service was well-led. People knew who the registered manager was and felt able to raise any concerns with her. Staff told us that they felt well supported