People enjoyed the meals and their dietary needs had been catered for. Staff supported people to have a healthy diet.

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner. In the domiciliary care service, we found people were not always supported to have maximum choice and control of their lives. Staff did not always support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice.People were provided with a choice of suitable and nutritious food and drink. Staff provided people with different options, including the use of pictorial menus and shopping lists, so that they were able to make an informed choice. People told us about favourite meals that they liked to cook and staff said this was encouraged and supported. Karen is CEO of Serenity House and a pioneer in the mental health and wellbeing industry. With over 30 years’ experience working with individuals from all walks of life, she aims to raise awareness of our life-changing services, collaborating with associates to reach wider audiences in need of mental health support. Swear words, sexual references, hate speech, discriminatory remarks, threats, or references to violence We are committed to being transparent about our costs. Once someone has paid for their treatment there are no additional charges or hidden costs for any of the services we provide as part of a client’s core treatment while at Serenity House. Mental Health and Wellbeing and Addiction Cost

Serenity House is a residential care home providing personal care to six people at the time of the inspection. The service can support up to 15 people. The service is registered to support older people, however people with a learning disability and autism were in residence. The service is not registered to support people with these needs. We received concerns in relation fire safety at the service. As a result, we undertook a focused inspection to review the key questions of safe and well-led only. Asked how they would rate the service, one person said they 'would give it 300%'. They added 'what more could I want? I've got a good landlady and a good staff team'. Both people using the service told us that they were 'loving it here'. The person we spoke with confirmed that staff involved them in discussions about their support. We observed how risks, benefits and alternative support options were discussed and explained in a way that the person was able to understand and participate in. It was clear that the assessment, planning and delivery of their support was developed with them and centred on them as an individual.There were two registered managers in post. One for the residential home and another for the homecare service. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated regulations. People were supported to be part of the local community and were able to follow their faith both within the home, as well as attending the local church. They made choices about how they spent their time and where they went each day. Medicines were not consistently managed safely. Arrangements were not in place to store and manage medicines safely. There was usually sufficient staff available to meet people’s needs. Staff responded in an appropriate manner to people. Staff were kind and sensitive to people when they were providing support. People were treated with respect.