This inspection took place on 18 & 19 April 2017. Pathfinders Neurological Care Centre is registered to provide accommodation, nursing and personal care for up to 78 people. The services caters primarily for people neurological conditions. On the day of our inspection 75 people were using the service.

At the last inspection, the service was rated Good. At this inspection we found the service remained Good.

People continued to feel safe and staff ensured that risks to their health and safety were reduced. There were sufficient staff to meet people’s needs in a timely manner and systems were in place to support people to take their medicines.

Staff received relevant training and felt well supported. People were asked for their consent and appropriate steps were taken to support people who lacked capacity to make particular decisions. People were supported to eat and drink enough to maintain good health.

There were positive and caring relationships between people and the staff who cared for them. Staff promoted people’s right to make their own decisions and respected the choices they made. People were treated with dignity and respect by staff who understood the importance of this.

People received person-centred and responsive care from staff who had a clear understanding of their current support needs. Care plans were in place which provided information about the care people required, although some sections required updating. People knew how to make a complaint and there was a clear complaints procedure in place.

There was an open and transparent culture which enabled people and staff to speak up if they wished to. The management team provided strong leadership and a clear direction to staff. There were robust quality monitoring procedures in place.

Further information is in the detailed findings below.

We found people were involved in planning their care and were enabled to provide consent in all aspects of their care. A person told us, “It was my choice to come here. My view is paramount.” Another person said, “I am involved in decision making, they don’t do anything without my consent.”

People’s individual needs were respected. A person who used the service told us, “I know I am a difficult case and all my needs are met. They identified my differences when I came here.”

Staff ensured people feel safe and secure. A person told us, “If I have not buzzed them (staff) for a while they pop in and check on me. If I am having a wobble they sit down and talk to me.” They also said, “They don’t let just anyone walk into the building.”

People who used the service said most of the time they got a good service but were able to give us some examples where they had to wait to receive the support they needed.

People were encouraged to express their views about the services they received. One person told us, “You feel they want to know if there is a problem, they ask you all the time.”

This inspection took place on 18 & 19 April 2017. Pathfinders Neurological Care Centre is registered to provide accommodation, nursing and personal care for up to 78 people. The services caters primarily for people neurological conditions. On the day of our inspection 75 people were using the service.

At the last inspection, the service was rated Good. At this inspection we found the service remained Good.

People continued to feel safe and staff ensured that risks to their health and safety were reduced. There were sufficient staff to meet people’s needs in a timely manner and systems were in place to support people to take their medicines.

Staff received relevant training and felt well supported. People were asked for their consent and appropriate steps were taken to support people who lacked capacity to make particular decisions. People were supported to eat and drink enough to maintain good health.

There were positive and caring relationships between people and the staff who cared for them. Staff promoted people’s right to make their own decisions and respected the choices they made. People were treated with dignity and respect by staff who understood the importance of this.

People received person-centred and responsive care from staff who had a clear understanding of their current support needs. Care plans were in place which provided information about the care people required, although some sections required updating. People knew how to make a complaint and there was a clear complaints procedure in place.

There was an open and transparent culture which enabled people and staff to speak up if they wished to. The management team provided strong leadership and a clear direction to staff. There were robust quality monitoring procedures in place.

Further information is in the detailed findings below.