"The four people living at the home had been living together for many years and the manager and most of the staff were longstanding at the home and had established significant relationships with them. We observed that they treated them with emotional warmth and respect and that they had developed effective ways to communicate with them to ensure their wishes and feelings were known and understood. Feedback from family members of the service users was very positive. They told us they were entirely satisfied with the care and support they were receiving and that they appreciated the opportunities they had to go on holidays and to take part in activities they enjoyed."