Archived: Dunraven House and Lodge

Updated 16 April 2016

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This visit to the service took place on 29 February 2016. This was an announced inspection which meant the provider knew two days before we would be visiting. This was because the location provides a supported living service to people who live in their own homes. We wanted to make sure the registered manager would be available to support our inspection, or someone who could act on their behalf.

The inspection was completed by one inspector. Before the inspection, we reviewed all of the information we hold about the service, including previous inspection reports and notifications sent to us by the provider. Notifications are information about specific important events the service is legally required to send to us. We reviewed the Provider Information Record (PIR). The PIR was information given to us by the provider.

At the time of the visit 20 people were receiving a supported living service, but only four of them were receiving support with personal care. Our inspection of the service was restricted to people who were receiving personal care, as this is the ‘regulated activity’ that is covered under the Health and Social Care Act 2008.

As part of the inspection we spoke with three people who use the service, the provider and four staff involved in the delivery of care to people. We looked at the records relating to care and decision making for all four people who receive personal care. We also looked at records about the management of the service. We received feedback from a social care professional who had contact with the service.

Updated 16 April 2016

Dunraven House and Lodge is registered to provide personal care to people who live in their own home. The service provides a supported living service to people who live in flats and houses close to a care home that the provider manages. The provider reported that only four of the people receiving a supported living service were receiving personal care support at the time of the inspection.

This visit to the service took place on 29 February 2016. This was an announced inspection which meant the provider knew two days before we would be visiting. This was because the location provides a supported living service. We wanted to make sure the provider would be available to support our inspection, or someone who could act on their behalf. The provider was available throughout the visit.

The provider was an individual who was in day to day charge of the service. The service does not have a condition of registration that they need to have a registered manager in place, because the provider was undertaking that role.

The systems to ensure restrictions placed on people by the provider were lawful and authorised by the Court of Protection had not been followed. Some people had restrictions on access to their medicines and on informing staff of their movements. These restrictions had been placed on people because the provider assessed they were necessary to keep them safe. However, the provider had not taken action to ensure these restrictions were authorised by the Court of Protection before imposing them on people.

People who use the service were positive about the support they received and praised the quality of the staff. Comments from people included, “I like the staff and feel comfortable with them” and “I feel safe. They do a very good job”.

People told us they felt safe when receiving care and were involved in developing and reviewing their care plans. Systems were in place to protect people from abuse and harm and staff knew how to use them. People said there were enough staff to provide the support they needed and staff arrived when they said they would.

Staff understood the needs of the people they were providing care for. Staff were appropriately trained and skilled. They received a thorough induction when they started working for the service and demonstrated a good understanding of their role and responsibilities. Staff had completed training to ensure the care and support provided to people was safe and effective to meet their needs.

The service was responsive to people’s needs and wishes. People had opportunities to provide feedback about their care and there was a complaints procedure. People said they were confident any concerns or complaints they raised would be responded to and action would be taken to address their issue.

The provider regularly assessed and monitored the quality of the service provided. Feedback from people was used to make improvements to the service.

We found a breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we told the provider to take at the back of the full version of this report.