Archived: Durranhill

used the information to answer the five questions we always ask;

' Is the service caring?

' Is the service responsive?

' Is the service safe?

' Is the service effective?

' Is the service well led?

This is a summary of what we found:

Is the service safe?

We found that staff there were sufficient staff to meet people's needs and the manager was able to increase the amount of staff if required. People had plans in place if they needed additional support in times of crisis.

Is the service effective?

People's legal right to consent to their care and treatment was being protected though the provision of information around advocacy needed to be more detailed. The staff had a good understanding of health relating to nutrition. People who used the service confirmed that they were well supported in this.

Is the service caring?

People were cared for by warm and friendly staff who were knowledgeable about the people they cared for. Support plans were based on comprehensive assessments. People were involved in writing and reviewing their own support plans and we found evidence that indicated that people were progressing towards living more independently.

Is the service responsive?

Records confirmed that people's preferences, interests, aspirations and diverse needs had been recorded and care and support had been provided in accordance with people's wishes. People had access to activities that were important to them and had been supported to maintain relationships with their friends and relatives.

Is the service well-led?

Staff had a good understanding of the ethos of the service and quality assurance processes were in place. People who used the service and staff had been consulted with about changes and they had been listened to. The manager provided leadership and was aware of areas that required improvement.

We found that people were well cared for and encouraged to be as independent as possible. Care plans were focused on people's rehabilitation and recovery. The staff cooperated with other health and social care providers in order to deliver person centred care. People who used the service were knowledgeable about abuse and staff knew how to identify and report potential problems. There was a robust complaints procedure in place which was being used effectively. Staff had all completed their inductions and legal checks had been carried out.

We found that people's views and experiences were taken into account and they experienced care, treatment and support that met their needs and protected their rights. People were cared for in a clean, hygienic environment by staff who were supported to deliver care and treatment safely and to an appropriate standard. Durranhill had appropriate arrangements in place to manage medicines and there was an effective complaints system available.