Working at Cascade (Charlton House)

Positive approach to risk taking... manage risks and keep people safe who hadn't been safe in other services. Incidents recorded and reviewed... action taken to prevent... medicines organised, PRN linked to PBS.

Staff told us they felt very supported in their roles... received support and reassurance... felt confident to continue. Staff challenged poor practice... positive ethos... values being important.

There were enough staff to support people, we saw people supported both in groups and on a one to one basis during our inspection. Robust induction... developing a student pathway for apprenticeships.

Staff told us the training was good... training records... including safeguarding, mental capacity, positive behavioural support... specialist areas such as autism. Staff were supported to progress with training through diplomas.

Service leadership was exceptional and distinctive. Leaders and the service culture they created drove and improved high-quality, person-centred care. Staff told us they felt very supported... management were open and approachable.

The service had developed a 'Just in Case' workbook... innovative and original approach... positive behavioural support plans... themed weeks such as consent week and physical health awareness week... resulted in a reduction in the number of serious incidents.