HF Trust Oxfordshire

Right Support: Not all premises were of a quality to meet people's assessed needs. In one setting, a person was at risk of harm due to their support needs increasing. The registered manager had identified this and was in the process of evaluating suitability of premises.

We have made a recommendation about consulting current and best practice guidance about expected standards of supported housing accommodation to reduce the risks of people living in potentially unsafe premises.

Most staff understood how to protect people from poor care and abuse. However, we found not all processes had been followed when people were potentially at risk of further harm. The registered manager had reflected on this and taken action to ensure reporting and investigation took place in line with the provider's policy and procedures.

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 have as much choice, control and independence as they could.

Staff had received training and had competency assessments to ensure they had the skills to work with people.

Right Care: People and their relatives told us they received care from staff who were kind and compassionate. Staff protected and respected people's privacy and dignity. They understood and responded to their individual needs. The service had enough suitably skilled staff to keep people safe. People who had individual ways of

communicating could interact comfortably with staff because staff had the necessary skills to understand them and knew them well.

Right Culture: There was an effective registered manager in place who had identified where improvements were needed. The registered manager ensured people were supported by staff that knew them well so they could be responsive in supporting people's needs. People received good quality care and support because trained staff could meet their needs and wishes. The staff we spoke with felt the registered manager was approachable and supportive and took action when needed.

People and their relatives had confidence and felt well supported by the service.