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We are carrying out a review of quality at Derwent House. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Requires improvement

Updated 11 July 2019

About the service:

Derwent House is a residential care home registered to provide accommodation and personal care for up to 14 people with a learning disability. The service is provided in a converted house, which is next door to another of the provider's services. The accommodation comprises 13 bedrooms, with one shared bedroom, shared toilet and bathroom facilities, communal lounge, dining room and kitchen, with access to a garden. At the time of our inspection, thirteen people were being supported at the service.

We inspected this service within the principles of Registering the Right Support and other best practice guidance. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. We found that people using the service did not always receive planned and co-ordinated person-centred support that was appropriate and inclusive for them.

People’s experience of using this service:

People had been placed at risk of continuing harm because staff had not recognised and reported potential safeguarding concerns. The provider had not ensured lessons had been learned since the last inspection and further improvements were needed to ensure staff received training and support to provide care in line with the values of Registering the Right Support. There was a lack of structure within the management and the provider did not have effective systems in place to consistently assess, monitor and improve the quality and safety of the service and ensure regulatory requirements were met.

People were not always supported to have maximum choice and control of their lives. The registered manager lacked knowledge to ensure people were supported to consent to their care and support in line with legislation.

There were enough, suitably recruited staff available to meet people’s needs and support them with activities. However, improvements were needed to ensure people were consistently supported to take part in activities that met their individual needs and promoted their wellbeing.

People were happy living at the service and were involved in day to day decisions about their care. However, improvements were needed to ensure staff practices consistently promoted a caring and respectful environment.

Risks to people’s health and wellbeing were assessed and staff understood the actions they should take to keep people safe. People were supported to take their medicines as prescribed.

People were involved in the planning and preparation of their meals. When people had specific dietary needs, staff followed professional advice to ensure these were met. People were supported to be involved in managing their own health needs and accessed other health professionals when needed.

People, relatives and staff were able to approach the registered manager if they had concerns and the registered manager worked with other agencies to ensure people’s changing needs were met.

Rating at last inspection: Inadequate (published December 2018)

Why we inspected:

At our last inspection in November 2018, we found continued and new breaches of the regulations and rated the service as Inadequate. People were not always protected from the risk of harm, there were insufficient staff and improvements were needed to ensure the provider followed safe recruitment procedures and had effective systems to continually assess, monitor and improve the service to ensure legal requirements were met. We placed the service in ‘special measures’ and placed conditions on the provider’s registration which required them to report to us on the action they were taking to meet the regulations.

This inspection was planned to follow up on the concerns at the last inspection in line with our ‘special measures’ procedures. We needed to check that people were supported saf

Inspection areas

Safe

Requires improvement

Updated 11 July 2019

The service was not always safe

Details are in our Safe findings below.

Effective

Requires improvement

Updated 11 July 2019

The service was not always effective

Details are in our Effective findings below.

Caring

Requires improvement

Updated 11 July 2019

The service was not always caring

Details are in our Caring findings below.

Responsive

Requires improvement

Updated 11 July 2019

The service was not always responsive

Details are in our Responsive findings below.

Well-led

Inadequate

Updated 11 July 2019

The service was not well-led.

Details are in our Well-Led findings below.