Some people who used the service were unable to tell us their experiences because of their complex needs. We spoke to three people who use the service, two nurses, one care assistant and three relatives. We also looked at records relating to treatment and other aspects of the service provided

We saw that all of the staff at the home treated people with warmth and kindness. A relative told us, “Staff get as excited as much as we do when people show improvement”.

The people who use the service were involved in influencing the care and welfare they received.

Care was planned and designed to meet the individual health and welfare needs of the people who used the service.

The people who use the service were at risk of not having their ongoing individual care and welfare needs met because all health care was not coordinated between providers.

People were not protected against the risks associated with medicines because the provider did not store or record their use properly.

We found that care workers were skilled, qualified and competent to provide people with the care they required to meet their individual needs.

The provider did not have an effective system in place to assess and monitor the quality of the service provided to protect people against the risk of unsafe care and treatment.

People were not protected from the risks of unsafe or inappropriate care and treatment because accurate and appropriate records were not maintained.

People we spoke with were happy with the care and support they were receiving. One person said, "I am out of here soon, yes it has done its job." Some people we met were unable to verbally share their experiences with us. We saw people looking calm and happy and some kind interactions between staff and the people using the service.

People were offered a lot of therapy sessions, but people told us there was not much opportunity to relax or do hobbies. One person said," There are some things to do, but it is a bit boring."

• We rated Janet Barnes unit as Good because
• Treatment was effectively organised to help maximise patient recovery and potential.
• Patients had access to good physical and psychological healthcare.
• There was effective team working to integrate physical, cognitive, and psychological recovery.
• There were sufficient staff to ensure patient safety.
• The service learned from past incidents and complaints to improve.
• Overall, staff were positive and encouraged patient recovery and well-being.
• Patients and relatives were involved in and informed of treatment and progress.
• Patients and relatives were able to raise any concerns or complaints and have them addressed.
• There was good medicine management.
• Patients’ rights were safeguarded whilst on the unit.
• The unit was clean and well-maintained.
• Patients, relatives and staff were positive about the new manager, who they saw as approachable, involved and responsible for improvements in the running of the service. It was clear that, under the new manager, the service had made major improvements since the previous inspections.

However,

• Not all staff received regular supervision to help support them in carrying out their duties effectively.