Mencap - Trowbridge

Right Care: There were some effective quality systems in place. However, in one home the checks did not identify the concerns we found on inspection in relation to people's medicines. Medicines were not always managed safely. Medicine profile sheets did not have information about people's allergies, nor did they show how and where people preferred to take their medicine. There was a high dependency on agency staff at one home which meant people were not always being supported by staff that knew them well. However, other homes were being supported by regular staff who knew people.

Right Support: People were mostly supported to have 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. The provider had not always recorded they had consulted and involved people in decisions, such as choices around healthy eating. People and their relatives told us they were happy and felt the staff supported them safely. People had comprehensive care and support plans in place.

Right Culture: There was a new registered manager in post who demonstrated their understanding of supporting people in a least restrictive and person centred way. We saw people were involved in their support plans and in 1 service we saw that most of their culture was person centred. Relatives told us they felt involved in peoples' care and were listened to by staff. Staff received training through an electronic system and face to face. All new staff were expected to complete the care certificate.