We carried out a review of the data available to us about DIL House on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about DIL House, you can give feedback on this service.
Dignity in Life Ltd provides accommodation and support for up to six young people with mental health issues. At the time of the inspection there were six people using the service.
People’s experience of using this service and what we found
At the last inspection we made a recommendation about managing medicines and this was complied with. Medicines were managed safely at the home.
People told us they felt valued and cared for and they were supported to be actively involved in all decisions regarding their care. People said their dignity was respected and they were able to have privacy when they needed it. Support was person-centred and people’s preferences were respected. Staff communicated well with people who used the service. People were supported to participate in activities and keep in touch with loved ones. A positive culture was promoted and people were comfortable to discuss anything with staff.
There were appropriate systems in place to help safeguard people from the risk of abuse. Individual and general risks were assessed and monitored by the service. Health and safety measures were in place at the home. Staff followed all required infection prevention and control policies and procedures. The premises were clean and tidy.
Staff were recruited safely and there were sufficient staff to ensure people’s needs were met. There was a thorough induction programme for new staff and regular training courses were attended throughout people’s employment.
People’s needs were assessed prior to admission and updates made to documentation whenever needs changed. The service had regular contact with other agencies and health and social care professionals to help ensure people’s care and support was effective.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
Required notifications about significant events were completed and sent to CQC. There was an appropriate complaints policy and procedure. The registered manager was aware of the need to be open and honest. We saw a number of internal audits and checks within the home. Any issues identified were addressed appropriately, to help ensure continued good standards. The service worked well with other agencies and health and social care professionals.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with CQC on 27 June 2019. We carried out a focused inspection (published 9 October 2020) in the areas of Safe and Well-led. No overall rating was given at the time as all five domains were not looked at.
Why we inspected
This was a planned inspection to look at all five domains and to rate the service.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
Follow up
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.
Dignity in Life Ltd provides accommodation and support for up to six young people with mental health issues. At the time of the inspection there were five people using the service.
People’s experience of using this service and what we found
There were some minor issues which needed improvement, with the leadership of the service. For example, systems to manage medicines, specifically controlled drugs (CDs), did not comply with current guidance. This was rectified immediately but we have made a recommendation that the management refer to National Institute for Health and Care Excellence (NICE) guidance with regard to all aspects of medicines management.
Policies and procedures needed to be updated to be service specific. The management team had not been aware of which notifications, of issues such as serious injuries, allegations of abuse and deaths, should be submitted to Care Quality Commission (CQC). This was discussed at the site visit.
There were general environmental risk assessments in place. All safety checks were undertaken regularly and actions taken to address any issues identified. The service adhered to all infection control guidance to help keep people safe. Staff we spoke with had completed safeguarding training and were confident to recognize and report any issues.
Staff files included appropriate documentation to help ensure employees were suitable to work with vulnerable people. Staff rotas demonstrated staffing levels were sufficient to meet the needs of the people who used the service.
Care plans were person-centred and included a range of health and personal information. There was a comfortable, open culture within the home and staff worked in a non-discriminatory way.
Complaints were addressed appropriately and accidents and incidents were recorded and followed up as needed. Audits and checks were completed to ensure any issues were identified and addressed.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last
This service was registered with CQC on 27 June 2019 and this is the first inspection.
Why we inspected
This was a planned inspection in line with our inspection programme. We have made changes to the way we work due to Covid-19. This is to avoid putting pressure on services that are caring for people. We completed a focussed inspection. During this inspection we looked at two key areas, safe and well-led. We do not look at all the five key questions during a focussed inspection. Therefore, the service was not given an overall rating.
Follow up
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.