People using the service were not able to verbally communicate with us so we observed how staff interacted with them, spoke with staff and looked at their care records to see how they were cared for and what there experiences were.We found that people were included in decisions about their care and support and, where they were not able to, they had an appropriate representative to make decisions on their behalf.
We looked at how people's care and support was delivered and we found people had individual support plans that provided comprehensive information about people's care and communication needs. We observed staff following people's support plans and communicating with people respectfully and effectively. Where people were able to use sign language we did attempt to engage with them but they did not want to communicate with us on that occasion.
We looked at the safety of the environment people were cared for within and found regular audits were carried out and the premises were safe and fit for purpose.
We observed staff levels in the home and looked at how people were care for. We found people were able to participate in activities of their choice and were not restricted in activities due to staffing levels.
We looked at the system that was in place for auditing records and ensuring they were maintained. We found that all people's records were appropriately maintained which meant they were not at risk of receiving inappropriate or unsafe care.