Floating Support City

People were protected from abuse, neglect and discrimination. Staff ensured people's safety and acted when necessary to prevent any harm. We found care plans and risks assessments were mostly thorough. People received their medicines according to prescriber's instructions. Recruitment practice was thorough and ensured there were enough staff of appropriate character to provide consistent support.

Staff received sufficient training and people said staff were skilled in providing their care. Staff monitored people's health and helped them access health and social care services whenever needed.

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.

People described the staff as kind and reliable. The staff actively encouraged people's independence and dignity. People were encouraged to actively participate in their care planning and were given opportunities to feedback on the service provided. There was a strong emphasis on personalising the support provided, encouraging social activities and enabling people to access their local community.

Whilst we received positive feedback about end of life care being provided, we have made a recommendation about being better prepared for providing end of life care. Reviews were completed when required due to a change in need or circumstances. However regular reviews to check people's preferred outcomes were still appropriate and being achieved were not completed. We have made a recommendation regarding completing regular reviews of care plans.

People told us the provider was usually accessible and dealt with any concerns or complaints effectively. Staff reported after a period of re-structure, the service had a clearer focus and was well managed.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk