479 Green Lanes

Risks associated with people's health and care needs were identified and assessed with guidance available to staff on how to minimise known risks to keep people safe. However, further improvements were required in ensuring staff were provided with detailed guidance in relation to people's identified individualised risks.

Management oversight systems in place enabled the registered manager to identify issues and improve the quality of care people received. Significant improvements had been made since the last inspection in this regard. However, during the inspection we did identify minor issues relating to detailed risk assessments and ensuring care plans were updated consistently where change was identified.

People received their medicines safely and as prescribed. Policies and processes in place supported this.

Process in place allowed for only those staff assessed as safe to work with vulnerable adults were recruited. There were sufficient numbers of staff available to meet people's needs. People told us that they received care at the agreed time and where staff were running late this was communicated effectively.

Care staff received the required training and support to carry out their role effectively.

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's nutrition and hydration needs were assessed and appropriate support provided where required. Where people required support and assistance to access health and social care professionals due to a

specific identified need, care staff and the service helped people with this.

People and relatives told us that care staff were kind, caring and respectful and that they received care and support that upheld their privacy and dignity.

Care plans were detailed, person-centred and captured people's needs and wishes about the care and support that they required.

People and relatives knew who to speak with if they had any concerns and were confident their concerns would be addressed and resolved.