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Dorset Learning Disability Service - 23 Birch Way Good

Inspection Summary


Overall summary & rating

Good

Updated 18 May 2018

We carried out an unannounced comprehensive inspection on 14 April 2018.

Dorset Learning Disability Service – 23 Birch Way provides care and accommodation for up to four people with learning disabilities. On the day of our inspection there were four people living at the care home. In relation to Registering the Right Support we found this service was doing all the right things, ensuring choice and maximum control. Registering the Right Support (RRS) sets out CQC’s policy registration, variations to registration and inspecting services supporting people with a learning disability and/or autism.

The service did not have a registered manager; however a manager had been appointed and was in the process of submitting their application to the Commission. 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. At the last inspection on the 2 June 2016, the service was rated Good. At this inspection we found the service remained Good.

Why the service is rated good:

People were not able to fully verbalise their views and staff used other methods of communication, for example pictures or visual choices. We met and spoke with three people during our visit and observed the interaction between them and the staff. One person was away with family.

People remained safe at the service. People were protected from abuse because staff knew what action to take if they suspected someone was being abused, mistreated or neglected. Staff, were recruited safely, and checks carried out with the disclosure and barring service (DBS) ensured they were suitable to work with vulnerable adults. People had their needs met by suitable numbers of staff.

People’s risks were assessed, monitored and managed by staff to help ensure they remained safe.

Risk assessments were in place to help support risk taking, and help reduce risks from occurring. People who had behaviour that may challenge staff or others had risk assessments in place which gave good guidance and direction to staff about how to support the person, whilst taking account of everyone’s safety. People received their medicines safely by suitably trained staff.

People were supported by staff who had received training to meet their needs effectively. Staff meetings, one to one supervision of staff practice and appraisals of performance were undertaken. Staff completed the Care Certificate (a nationally recognised training course for staff new to care). Staff confirmed the Care Certificate training looked at and discussed the Equality and Diversity and the Human Right needs of people.

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.

People's health was monitored by the staff and they had access to a variety of healthcare professionals. The manager worked closely with external health and social care professionals, to help ensure a coordinate approach to people’s care.

People’s end of life wishes were not currently documented, however staff told us how they had supported one person during their end of life last year. This included offering support when this person was admitted to hospital to help ensure they had people familiar to them at the end.

People’s care and support was based on legislation and best practice guidelines; helping to ensure the best outcomes for people. People’s legal rights were up held and consent to care was sought as much as possible. Care records were person centred and held full details on how people liked their needs to be met; taking into account people’s preferences and wishes. Overall, people’s individual equality and diversity pref

Inspection areas

Safe

Good

Updated 18 May 2018

This service remains Good.

Effective

Good

Updated 18 May 2018

This service remains Good.

Caring

Good

Updated 18 May 2018

This service remains Good.

Responsive

Good

Updated 18 May 2018

This service remains Good.

Well-led

Good

Updated 18 May 2018

This service remains Good.