We found that changes had been made to the storage of medicines to ensure they were kept safely and securely. There were suitable arrangements in place for the safe handling and management of medicines.
People using the service and staff were asked for their views and these were acted on. We found that risks to the health, safety and welfare of people using the service and others were identified, assessed and managed.
We saw that some checks of the cleanliness of the premises had been made. We found that the provider was introducing a new system to ensure effective monitoring of infection control and prevention measures.
We spoke with two people using the service. One person told us, ''It's very very nice here". The other person told us, ''I look forward to coming here, as soon as I go home I want to come again.''
People were asked for their consent before they received any care and the provider acted in accordance with their wishes. We saw that people were involved in planning their care and making choices.
We found that people were not always cared for in a clean and hygienic environment. Best practice for the prevention of infection was not always being followed.
There were appropriate arrangements for most aspects of medicines management. However, we found that medicines were not kept safely. This was because of unrestricted access to the medicines storage room and lack of secure storage for controlled drugs.
There were enough qualified, skilled and experienced staff to meet the needs of people using the service.
We saw that people who used the service, their representatives and staff were asked for their views about their care and they were acted on.
We found that the provider had not always effectively identified, assessed or managed risks relating to the health, welfare and safety of people using the service and others.
People told us that staff respected their privacy, for example, by knocking on bedroom doors before entering, and by ensuring toilet and bathroom doors were closed when in use.
We observed that staff treated people with consideration and respect.
People told us they would go to the managers with any concerns and were confident that appropriate action would be taken. People told us the staff were "friendly" and "they're all lovely".
People told us they liked their bedrooms and said the lounge / dining room for the residential unit was "bright and cheerful". People told us they could move freely around the ground floor, using the day centre if they wanted to. One person said they thought the toilets were too small to accommodate their wheelchair as well as the staff needed to provide assistance.
People told us that staff were always available when needed and they did not have to wait for assistance.
People told us they had not had to make any complaints about the service. They said "I've no complaints" and "I'm a satisfied customer!".