13 October 2022
During an inspection looking at part of the service
Dane House is a residential care home providing accommodation and personal care to 6 people at the time of the inspection. The service can support up to 6 people.
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
People’s experience of using this service and what we found
Right Support: Some risks to people were not documented and assessed to ensure staff had all the information they needed. People were supported by staff who knew them well and maximised their opportunities for independence. A relative said, “We are very lucky to have found this place,” a person told us, “I’m happy here.” 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. Staff supported people to make decisions themselves and communicated with people in ways that met their needs. People were supported to maintain contact with people who were important to them. They used local community services and were supported to access health care services.
Right Care: People were receiving person centred care from staff who were kind and caring. People and their relatives spoke positively about the staff. One person told us the staff were kind and said, “They are all my favourites.” The staff respected and promoted people's dignity, privacy and human rights. People were able to access their bedrooms independently which promoted their privacy and dignity. Staff were appropriately trained and had the skills to support people’s individual needs, to communicate effectively and to support their safety.
Right Culture: The culture of the service was positive and open, staff described being well supported in their roles. Staff understood people’s sensory needs and used positive behaviour support techniques effectively to support people when they experienced episodes of distress. The registered manager and provider recognised where practice needed to improve and took immediate actions to address shortfalls in risk assessments, care plans and systems for monitoring quality.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (published 24 July 2021) and there was a breach of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
We carried out an unannounced comprehensive inspection of this service on 4 June 2021. A breach of legal requirements was found. The provider completed and action plan after the last inspection to show what they would do and by when to improve the need for consent. We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe, Effective and Well-led which contain those requirements.
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.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has remained as requires improvement. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Dane House on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.