SignHealth Constance Way

The home had a consistent team with appropriate training. Staff communicated with people using British Sign Language.

“People were supported by a consistent team who had the appropriate skills and training. All staff communicated with people using British Sign Language.” from the report

People were involved in reviewing their care, choosing activities and making decisions about meals. They were encouraged to be independent and develop their skills.

“People were encouraged to be independent and enhance their skills.” from the report

People and relatives spoke positively about the care and management. Inspectors saw warm interactions, and people said they felt listened to and respected.

“People told us they felt listened to and respected by staff.” from the report

Inspectors found examples where mental health monitoring and support had not been recorded. The manager acted after this was raised.

“We found a couple of examples where monitoring and support provided in relation to people's mental health needs had not been recorded” from the report

The home was following the principles of the Mental Capacity Act, but decision-specific assessments and best-interest decisions were not always recorded in line with its own policies.

“However, decision-specific mental capacity assessments and best interest decisions were not being documented in line with the provider's own policies.” from the report

Medicine and care-plan audits had not found some of the problems identified by inspectors. The management team was taking action through its improvement plan.

“Some improvements were required with medicines and care plan audits as these had not identified some issues found during this inspection.” from the report

Staffing levels were judged safe and inspectors found no evidence that people's needs were unmet. However, people gave mixed feedback, including that the home had been a little short staffed, and there had been recent staff changes.

“Some people commented on always enough staff being on shift, other people told us there had been recent changes in staffing and one person told us the service was "a bit short staffed".” from the report

The home was supporting people with learning disabilities, but this was not included in its registration. The manager said immediate action would be taken to update it.

“The providing was caring for people with learning disabilities, but this was not included in their registration.” from the report