22 February 2018
During a routine inspection
At our last inspection we rated the service Good. At this inspection we found the evidence continued to support the rating of Good and there was no evidence or information from our inspection and on going monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.
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At this inspection we found the service remained Good.
People were supported by staff who understood the risks they faced and how to support them to reduce these. Staff understood how to identify and report abuse and were confident in their role as advocates for people when this was appropriate. Staff supported people to take medicines safely.
People were supported by skilled and caring staff who worked to ensure they lived their life the way they chose. Communication styles and methods were considered and staff supported people to understand the choices available to them.
This meant people were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
People, relatives and professionals told us they could raise any concerns and these were addressed appropriately.
The service had been through a period of sustained uncertainty due to changes in commissioning. This had not impacted the support and care people received. Quality assurance systems involved people and led to a safer and better quality service.
Further information is in the detailed findings below.