Pathways to Opportunities

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. 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. Care plans were detailed and person-centred. The care plans provided guidance for staff about how best to support people's needs and preferences, and the outcomes to be achieved. People and relatives were involved in the care planning and regular reviews. Staff knew and understood people extremely well which led to good outcomes for people.

Right Care: People received person-centred care of a high standard. People received kind and compassionate care. Everyone we spoke to as part of the inspection praised the service. Staff were kind, caring and understanding. Staff treated people with dignity and respect. 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, however, we have made recommendations about the provider reviewing their 'as required' (PRN) medicines systems and reviewing the frequency of staff medicine competency assessments.

Right Culture: The culture of the service was friendly, open and transparent. The registered manager had clear values which included a passion for providing a high standard of care to people. These values were embedded into the service and staff members we spoke with. The registered manager and staff demonstrated a commitment to people, and they displayed person-centred values. People's choices were respected, and

staff supported them to achieve good outcomes. The culture was open and inclusive. Staff said they enjoyed their roles and the relationships between staff and people was positive. Auditing systems were in place that enabled the registered managers to have effective oversight of the service and identify and respond to any improvements needed. People told us they felt safe and knew how to raise concerns.