Support Horizons

At the last inspection, the service was rated Good in all domains. At this inspection we found the service remained Good in all domains and was rated Good overall.

People felt safe and well supported by the service. They said staff treated them with respect, looked after their rights and protected their dignity. People felt involved in their care planning. They said staff sought their consent and enabled them to make day to day decisions about their care and activities. People got on well with the care staff but some had experienced issues with office staff. They felt staff were competent and looked after their health and dietary needs. People said they could complain if they were unhappy about something and issues had been addressed. People's vies about the service had been sought and improvements had been made.

Identified risks were assessed and mitigated without restricting people's freedom. Individual care needs were assessed and identified and detailed care plans enabled person-centred care. People's health and nutritional needs were supported and their medicines were managed safely on their behalf, where necessary.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People were treated with kindness and patience by staff who knew them well and understood their diverse needs and communication. A range of appropriate communication aids were used where needed to help people to express their wishes and choices. People were supported to have access to appropriate activities and the community and their spiritual needs were met.

Staff received a thorough induction, core training and attended periodic training refreshers to maintain their knowledge and practice. They were supported through individual supervision and appraisal. Staff understood the values and aims of the service and felt these were conveyed to them consistently and effectively.

The management team exercised effective oversight of the service. A computerised management system allowed monitoring and analysis of key aspects of the service and regular meetings and reporting ensured relevant information was shared.

Further information is in the detailed findings below

The five questions we ask about services and what we found