Amersham House

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.

People received a comprehensive pre-assessment before starting to use the service. This ensured the service would be able to meet their care and support needs. Staff were supported through robust induction processes, supervision and regular training. This ensured staff were up to date with best practice. Where it was an identified need, people were supported around eating and drinking. 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 to be as independent as possible and were supported with all aspects of daily living. This included, shopping, cooking, cleaning, managing their mental health and medicines.

People's care was planned with their full involvement. People's care was person-centred, and staff knew people well. Care plans documented how people wanted to receive their care. People were supported with activities that were meaningful to them as individuals. There was a clear complaints process, people and relatives were given information on how to complain. Relatives told us they were confident about raising any concerns and that they would be dealt with.

There was an open and inclusive culture at the service. People were encouraged to be partners in planning their care and support. People, relatives and staff were complimentary of the registered manager and the support they received. The registered manager was approachable and made time to speak with people and staff. People and relatives were encouraged to give feedback on the service. There were regular staff meetings where staff were able to raise any queries or questions they had. People were involved through community meetings and were able to put forward ideas. Staff told us they felt they worked as a team and like a family.