Housing 21 - Mattesley Court

People using the service lived in their own flats within one adapted building. Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.

People's risks were known to and managed by staff, although records were not always available to ensure consistent practice. People who received support with medicines told us this support was safe, although records were not all accurately maintained. People told us they received their calls on time and the inspection found continued safe recruitment practices.

We received consistently positive feedback from the support people received, and healthcare professionals spoke positively about the service. People were supported to access healthcare services and to prepare and have their meals if needed. Staff told us they had enough training and felt supported. Further training plans were underway to help continue to develop staff.

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. We found however improvements were required as to how one person was supported. Our last inspection had found staff were not always clear on the requirements of the Mental Capacity Act (2005). We have made a recommendation about this.

People and relatives all told us staff were caring. People told us they were asked for their views about their care although this was not always documented. People's privacy, independence and dignity was promoted.

People's individual preferences and routines were known and followed. People's needs were responded to including end of life care and any concerns people raised. People were encouraged to get involved in social events at the service.

Records were not always robust to reflect the positive support described by people and staff including

medicines management. Audits had not always identified and addressed all issues to support continuous improvements to the quality and safety of the service.