Four Meadows

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 were encouraged and supported to maintain a healthy lifestyle and supported to enjoy a wide variety of hobbies and interests which maintained their sense of well-being.

Risks were well managed with the least possible restriction and people were well supported to maintain and develop an independent lifestyle and lead active lives.

Right Care: Care and support were provided according to people's individual needs and wishes. Staff ensured people's privacy and dignity were respected. People felt safe with staff and enjoyed spending time with staff who they knew well. Staff had a good understanding of people's care needs and ensured care and support was personalised.

Risk assessments provided up to date guidance and information for staff. They gave clear information for how staff could ensure people made informed choices and lived their best lives.

Staff had training on how to recognise and report potential abuse. There were enough staff on each shift to ensure people were supported safely. Staff received a robust induction and completed specialist training, to ensure their knowledge remained current.

Right Culture: People, relatives and staff had confidence in the leadership of the service and felt it was well-led. The registered manager and provider-maintained oversight of the service through regular conversations with people, relatives and staff as well as through a programme of quality assurance audits to ensure the service was working to the provider's policies and procedures.

The provider's monitoring processes were effective in helping to ensure people consistently received good quality care and support. Staff and volunteers knew and understood people well and were responsive to their needs. People and those important to them were involved in planning their care.

The registered manager demonstrated joint working with health professionals which provided specialist support to people, involving their families and other professionals as appropriate. Staff demonstrated good understanding around providing people with person centred care and spoke knowledgably about how people preferred their care and support to be given.

People, relatives and staff felt confident in raising any concerns with the registered manager and told us any concerns would be listened to and acted upon.

Staff and relatives spoke of an open, supportive and friendly culture within the service, that placed people and their needs at the heart of the service.