We carried out a review of the data available to us about Dana 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 Dana House, you can give feedback on this service.
Dana House is a care home providing personal care to up to 4 people. The service provides support to people who have learning disabilities or mental health care needs. At the time of our inspection there were 4 people using the service.
People’s experience of the service and what we found
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.
Right Support
People were supported by staff who understood their needs and had received training to support them in their roles. Personalised support plans gave clear information for staff to follow in keeping people safe, whilst enabling people to be as independent as possible. There were sufficient staff on duty to meet people’s identified needs and additional staffing was provided as required.
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.
Right Care
People's care plans were regularly reviewed and updated to include important information and guidance for staff on supporting their identified needs. Staff understood people’s wishes and preferences and were observed to support people in a friendly and respectful manner.
We observed good communication between people and staff. Staff had engaged with people, family members, health care professionals and other relevant individuals to ensure people’s care and support met their needs.
Right Culture
People led inclusive and empowered lives because of the ethos, values, attitudes and behaviours of the management and staff. People's quality of life was enhanced by the service's culture of transparency, respect, improvement, and inclusivity. Staff were supported to discuss best practice for the people they supported in supervisions and team meetings.
People were provided with the support they required in the home and to access the local community as they wished. There was no evidence of restrictive practice.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 8 November 2017).
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Follow Up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
At the last inspection, the service was rated Good. At this inspection we found the service remained Good.
People told us that they were happy living in the home and felt safe. Staff knew how to raise any concerns about people's safety so people were protected.
Staff were respectful and kind to people and demonstrated an understanding of each person’s needs and abilities. People’s choices were respected. They were involved in planning and reviewing their care, which was responsive and personalised.
Arrangements were in place to make sure people received the service they required from sufficient numbers of appropriately recruited and suitably trained staff.
People's medicines were managed safely. People's dietary needs and preferences were supported, and they chose what they wanted to eat and drink. Healthy eating was promoted.
Staff understood their responsibilities in relation to the Mental Capacity Act 2005 [MCA]. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
Checks were carried out to monitor and improve the quality and safety of the service and improvements were made when needed.
Further information is in the detailed findings below
This unannounced inspection of Dana House took place on the 22 December 2015.
At our last inspection of this service on 18 November 2013 a breach of legal requirements was found. This related to the management of medicines. During this inspection we found the provider had followed their action plan, and now met legal requirements by ensuring that medicines were stored safely.
Dana House is registered to provide accommodation and personal care for 4 adults. The home supports people with learning disabilities who may have additional mental health needs. The service is operated by Care Worldwide (London) Limited. On the day of our visit there were 4 people living in the home. Public transport and a range of shops are located within walking distance of the service.
There was a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission [CQC] 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 about how the service is run.
The atmosphere of the home was relaxed and welcoming. People were treated with respect. Staff engaged with people in a friendly and courteous manner. Throughout our visit we observed caring and supportive relationships between staff and people using the service.
People were encouraged and supported to make decisions for themselves whenever possible to maintain and develop their independence. People participated in a range of activities of their choice, and were supported to maintain and develop a range of skills. People were provided with the support they needed to take part in and develop social interests, and maintain links with their family and friends.
Arrangements were in place to keep people safe. Staff understood how to safeguard the people they supported. People’s individual needs and risks were identified and managed as part of their plan of care and support. Care plans were personalised and reflected people’s current needs. They included the information staff needed to provide people with the specific and individual care and support they wanted and required.
People were supported to maintain good health and their well-being was promoted. People had good access to healthcare services they needed. Their health was monitored closely and they were provided with the treatment they needed. People had a choice of food and drink which met their preferences and dietary needs.
Staff were appropriately recruited, trained and supported to provide people with individualised care and support. Staff told us they enjoyed working in the home and received the support and training they needed to carry out their roles and responsibilities in providing people with the service they needed and wanted.
Staff understood the legal requirements of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS). They knew that when people did not have the capacity to make a decision in their best interests and safety, DoLS would need to be in place when it was necessary to restrict people’s freedom in some way.
There was an open and inclusive culture within the home. People using the service and staff told us they felt able to communicate their views about the service and were confident that they would be listened to, and any concerns would be addressed by staff including the registered manager.
There were systems in place to regularly assess, monitor and improve the quality of the services provided for people.