Patients at Kingswood Centre were very positive about the care and treatment received. Patients confirmed that they had been involved in the admissions, care planning, and discharge and risk assessment process. Comments made by patients included: “My care plan is discussed with me and I tell them what I want”. Patients showed us around communal areas and told us that they had access to meaningful activities during the week, but weekends were very quite and not much was happening.

We asked patients and relatives about access to independent advocacy. Patients told us that an advocate visits the service weekly and supported them in making informed decisions. This ensured that someone will act on their behalf if they were not able to do so.

Patients told us that they felt safe at Kingswood Centre and while restraint had been used, it was not excessively and was used appropriately.

We spoke with people who use the service but they did not want to discuss their experiences with us. We contacted three relatives who told us they were provided with sufficient information about the service and the welbeing of their respective relatives. One person told us they appreciated the "open and honest culture" in the service.

People who use the service were treated with respect and consideration. They were provided with easy read information and were supported to be involved in the decisions relating to their care.

People’s care and treatment was planned in a way that ensured their safety and welfare. We saw that people’s care and treatment was planned and agreed at multidisciplinary team meetings and the directions and strategies from those meeting were fully reflected in people’s care plans. Care plans contained very detailed directions and guidance for staff to follow in how to recognise behavioural changes and deescalate situations.

People who use the service were safeguarded against the risk of abuse because the provider had appropriate systems in place. Staff were able to describe to us the various types of abuse, they recognised that failure to provide appropriate care was abuse and they demonstrated they could escalate a concern appropriately. One person told us thay they considered their relative was "safe" in the service.

People who use the service had their care and treatment delivered by a staff team that were appropriately trained and skilled to do their job. Staff had regular supervision and where staff changes affected the support provided managers adjusted handovers and meetings to build in additional support.

The provider had robust systems in place to enable people who use the service to give feedback and we saw evidence of positive responses to people’s feedback. People were protected from unsafe and inappropriate care and treatment because the provider had systems in place identify, reduce and monitor incidents in the service.