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Inspection Summary


Overall summary & rating

Good

Updated 11 January 2018

This inspection took place on the 17 and 20 November 2017 and was unannounced. The inspection team consisted of one inspector. The previous inspection took place in October 2015 and the service was rated Good overall. This service was inspected at the same time as the provider’s other service which is very similar to this service. Both services are with five minutes’ drive from each other and managed by the same registered manager. Some areas of the reports will contain some similarities as we spoke to the same staff during our inspections of both services.

Dexter close is a residential home registered to provide personal care and accommodation for two people with learning disabilities and on the autism spectrum. The service is a house located in Grays, Essex. Each person has a single room and there is a communal bathroom, shower room, kitchen, dining room and lounge. There is a rear enclosed garden at the back of the house with level access. At the time of our inspection there were two people using the service.

The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen. Registering the Right Support CQC policy.

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.

The service was safe. The service’s recruitment process ensured that appropriate checks were carried out before staff commenced employment. There were sufficient staff on duty to meet the needs of people and keep them safe from potential harm or abuse. People’s health and wellbeing needs were assessed and reviewed to minimise risk to health. People’s medication was managed well and records of administration were kept up to date.

The service was effective. People were cared for and supported by staff who had received training to support people and to meet their needs. The registered manager had a good understanding of their responsibilities in relation to the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards. People were supported to eat and drink enough as to ensure they maintained a balanced diet and referrals to health and social care services was made when required.

The service was caring. Staff cared for people in an empathetic and kind manner. Staff had a good understanding of people’s preferences of care. Staff always worked hard to promote people’s independence through encouraging and supporting people to make informed decisions.

The service was responsive. Records we viewed showed people and their relatives were involved in the planning and review of their care. Care plans were reviewed on a regular basis and also when there was a change in care needs. People were supported to follow their interests and participate in social activities. The service responded to complaints received in a timely manner.

The service was well-led. Staff and people spoke very highly of the registered manager and the provider who they informed to be supportive and worked hard to provide an exceptional service. The service had systems in place to monitor and provide good care and these were reviewed on a regular basis.

Inspection areas

Safe

Good

Updated 11 January 2018

The service remains Good.

Effective

Good

Updated 11 January 2018

The service remains Good.

Caring

Good

Updated 11 January 2018

The service remains Good.

Responsive

Good

Updated 11 January 2018

The service remains Good.

Well-led

Good

Updated 11 January 2018

The service remains Good.