On the day of this inspection there was one person using this service. We used a number of different methods to help us understand the experiences of this person because they had complex needs. This meant that they were not able to tell us their experiences. We spoke to a health professional who had had contact with the person for a number of years. We also spoke with two members of staff and the manager, and read the care plans of the person using the service, to find out more information.The health professional that we spoke with felt that said that the person was, 'happy [at Midshires House]' and they had 'no concerns' about how staff treated the person. These comments were supported by staff we spoke with who respected, and met, the person's needs and personal preferences.
The health professional that we spoke with thought that the person felt safe living at the service. We saw evidence supporting this. However, we also found that the service was not making a consistent effort to ensure that staff were not personally benefiting from the person's finances. Staff had received training that kept the person safe. The health professional we spoke with felt that staff were well trained to meet the person's needs, and records we saw supported this.
The views of the person using the service were, as far as possible, identified and acted on. The views of others, important to the person, were regularly sought by various means.