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Inspection Summary


Overall summary & rating

Good

Updated 30 September 2016

This unannounced inspection took place on 2 September 2016. Dalling House provides personal care, support and accommodation to up to 19 people. At the time of our inspection 19 people were using the service.

The service has a registered manager. A registered manager is a person who has registered with the Care Quality Commission 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.

People received safe and appropriate care. The service had identified risks to people’s health and had plans in place to protect them from the risk of harm. Staff followed guidance in place to manage the risks safely. People received appropriate support to take their medicines safely as prescribed. There were sufficient numbers of competent staff available to meet people’s needs.

People received care that reflected their preferences and choices. People and their relatives were involved in planning for their care. Staff assessed people’s needs and involved them in reviewing their support. People were able to make changes on how they wished to receive their support. Staff had guidance on how to deliver people’s care and provided the support as planned.

Staff received support from their managers to undertake their duties to provide care and support to people. Staff were confident in their role and had regular supervision sessions to reflect on their performance. Staff attended regular training courses and had the knowledge and skills to support people.

People gave consent to the support they received. Staff supported people in line with the principles of the Mental Capacity Act 2005. The service met the legal requirements of the Deprivation of Liberty Safeguards.

People told us they enjoyed the choice of food that was available to them at the service. People were encouraged to participate in activities of their choice. People said staff were kind and caring and understood how to meet their needs. Staff respected people’s privacy and dignity. People received the support they required to communicate their preferences and needs. Staff considered this when they planned and delivered people’s individual support.

People accessed healthcare services when needed and staff supported them to receive healthcare screenings. People received appropriate support to access specialist advice and treatment in relation to their health needs.

The registered manager sought people and their relative’s views and used their feedback to improve the service. Staff held meetings with people to get their views about the service. People and their relatives knew how to make a complaint.

The registered manager undertook checks on quality of the service to ensure each person received safe care and treatment. There was effective follow up action when necessary to ensure improvements were made.

Inspection areas

Safe

Good

Updated 30 September 2016

The service was safe. Staff identified risks to people and managed these appropriately. Staff understood how to recognise abuse and take effective action to keep people safe.

Staff were employed through a robust recruitment process. There were enough staff to meet people’s needs.

People received their medicines safely as prescribed.

Effective

Good

Updated 30 September 2016

The service was effective. Staff received training and support which enabled them to support people with their needs.

People were supported to understand information about their care. Staff provided the support in line with their wishes.

The service complied with the requirements of the Mental Capacity Act 2005 and Deprivation of Liberty Safeguard.

People received food and drink suitable to their needs and had access to the healthcare they needed.

Caring

Good

Updated 30 September 2016

The service was caring. People told us staff were kind and caring. Staff understood people’s background and their communication needs.

Staff respected people’s privacy and dignity.

People received care and support which reflected their individual preferences.

Responsive

Good

Updated 30 September 2016

The service was responsive. People’s individual needs were assessed and people received support which met their needs.

People followed their interests and took part in activities of their choice.

People understood how to make a complaint.

Well-led

Good

Updated 30 September 2016

The service was well-led. Staff felt well supported by the registered manager. Staff told us the registered manager was open to their ideas to improve service delivery.

The registered manager carried out checks on the way the service operated. Improvements were made when necessary.

The service asked people and their relatives about their views of the service and responded to their feedback.