HF Trust Ormiston

Ormiston is one building which contains a staff office / communal kitchen, laundry, staff 'sleep-in' room and 4 individual flats with their own gardens.

Right Support: People using the service lived independently from each other, with their own flats, gardens and transport. The service had done all possible to support one person to go out safely while their new vehicle was being built and to speed up its delivery, also to ensure adaptations were made to another person's home. Each person had a named staff member [keyworker] who supported them with planning and decision-making. Improvements had been made to staff recruitment, employment conditions and training to address staffing challenges and ensure staffs' approach maximised people's choice, control and independence.

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.

Right Care: People's medicines, incidents and behaviours were reviewed regularly with health and social care professionals to ensure any restrictions were in people's best interests. Staff supported people to access medical care by ensuring reasonable adjustments were made. A professional said staff had, "Ensured that the right people were with him to explain to the resident the treatment but also advise [professionals] the adjustments required in relation to timing, the environment and his compelling likes dislikes." One person was being supported to attend a slimming group, staff understood their weight loss programme and supported the person with cooking and food choices.

Right Culture: Managers were committed to ensuring improvements underway at the service were completed. Recruitment changes, staff training and support were having a positive impact on the service's culture. The staff we spoke with were compassionate and empathetic and understood people's needs and risks. Effective working relationships had been established with most professionals, who told us about the

positive impact improvements were having. However, areas for improved communication were identified which the registered manager said they would address. A staff member said, "It is 100% improving. Managers are working tirelessly, you can go to them with any worries or fears, there is always time."