Esteemed Life Care (Preston)

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. Consent to care and treatment had been obtained and where people lacked capacity relevant others had been involved in supporting people's decision making.

Staff took account of people's wider holistic needs and people were supported to lead healthy lives and received support to eat and drink healthily. Staff were well trained and could work alongside other health professionals to provide effective care.

People were supported by caring and attentive staff. A relative said, "The main carers have bonded really well with [relative] and are friendly." All the people we spoke with had positive feedback about staff. People said they felt very respected and comfortable in their presence.

Electronic care planning and rota systems were used. Plans were in place so that people and relatives could access care plans and rotas remotely. People told us concerns were addressed and resolved quickly. People were supported to take part in activities in their local community.

We observed a positive culture within the service and people spoke highly of their care and staff. Staff enjoyed their jobs and told us managers were supportive. Managers had a good understanding of risk and monitored outcomes.