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Inspection Summary

Overall summary & rating


Updated 26 July 2017

This inspection took place on 15 May 2017 and was unannounced. Dovetail house is run and managed by Step Forward (Nottingham) Ltd. The service provides care and support for up to 20 people with mental health and learning disabilities resulting from brain injury. On the day of our inspection 10 people were using the service.

The service had a registered manager who was also the registered provider of the service. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Registered providers and registered manager 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. As well as a registered manager the service employed a home manager to manage the running of the service.

People who used the service were safe as the provider had systems and processes in place to protect them from risk to their safety. They were supported by suitably trained staff who had an understanding of their responsibility to protect people from abuse.

The numbers of staff were reflective of the needs of the people who lived at the service and the provider followed safe recruitment process when employing staff to ensure they were suitable to support people. People were supported to receive their medicine as they required them.

People were encouraged to make independent decisions and staff were aware of legislation to protect people who lacked capacity when decisions were made in their best interests. We also found staff were aware of the principles within the Mental Capacity Act 2005 (MCA) and had not deprived people of their liberty without applying for the required authorisation.

People’s nutritional needs were well managed and people received the support they required. There was good collaboration between the staff and health professionals to ensure people’s health needs were met.

People received care from staff who were kind and respectful and people were encouraged to contribute to the planning of their care.

People received individualised care from staff who know their needs. They were supported to undertake social activities of their choice and maintain relationships with people who mattered to them.

People who used the service, or their representatives, were encouraged to be involved in decisions and systems were in place to monitor the quality of service provision. People also felt they could report any concerns to the management team and felt they would be taken seriously.

Inspection areas



Updated 26 July 2017

The service was safe.

People were protected from potential abuse as there were systems in place to support staff if they recognised or needed to respond to any safeguarding issues.

The risks to people’s safety was regularly assessed to ensure they received safe care and treatment

There was enough staff to meet people’s needs and staff able to respond to people’s needs in a timely manner. Safe recruitment processes ensured staff were suitable to provide safe care to people.

People received their medicines as prescribed and medicines were managed safely by staff with appropriate training and support.



Updated 26 July 2017

The service was effective.

People were supported by staff who had received training and supervision to support them to perform their roles and responsibilities effectively.

People were supported to make independent decisions and procedures were in place to protect people who lacked capacity to make decisions.

People were supported to maintain a nutritionally balanced diet and fluid intake and their health was effectively monitored.



Updated 26 July 2017

The service was caring.

People’s choices, likes and dislikes were respected by staff who knew them well and people were treated in a kind and caring manner.

People’s privacy and dignity was supported and staff were aware of the importance of promoting people’s independence



Updated 26 July 2017

The service was responsive

People, or those acting on their behalf, were involved in the planning of their care when able and staff had the necessary information to promote people’s independence and well-being.

People were supported to take part in a varied range of social activities within the home and the broader community.

People were supported to make complaints and concerns to the management team.



Updated 26 July 2017

The service was well led.

People felt the management team were approachable and their opinions were taken into consideration. Staff felt they received a high level of support and could contribute to the running of the service.

There were robust systems in place to monitor the quality of the service.