Fortress Care Ltd

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.

Right Support: People received good quality care. The care plans provided guidance for staff about how best to support people's needs and preferences. Staff focused on people's strengths and promoted what they could do, so people had a fulfilling and meaningful everyday life. People's communication needs were met.

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; however, the systems in the service did not always support this practice. The provider had no specific mental capacity assessments in place. We have made a recommendation about the provider reviewing their systems in place to work within the principles of the Mental Capacity Act (MCA).

Right Care: People received person-centred care of a good standard. People received kind and compassionate care. Staff were kind, caring and understanding. However, some people told us staff were not always respectful as they spoke in their mother tongue with each other whilst delivering care. We fed this back to the registered manager who assured us they would take necessary action and address this with staff.

Staff understood and responded to people's individual needs. People's care needs were risk assessed and care plans provided staff with the information they needed to manage identified risks. People were protected from the risks of abuse and staff were trusted to keep them safe. Staff had received training in how to safeguard people. Medicines were managed safely.

Right Culture: The culture of the service was friendly, open and inclusive. Person-centred values were embedded into the service and staff members we spoke with. People's choices were respected, and staff supported them to achieve good outcomes. Staff said they enjoyed their roles and the relationships between staff and people was positive. People told us they felt safe and knew how to raise concerns.

Overall, the provider ensured the safety and quality of the service was effectively assessed. However, there were areas which needed further development. The provider and registered manager were responsive to issues raised at the time of the inspection.