You are here

Dorset Learning Disability Service - 20 Edward Road Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 31 October 2019

About the service

Dorset Learning Disability Service – 20 Edward Road is a residential care home which is able to provide personal care and accommodation to up to three people. The home specialises in the care of people who have a learning disability. At the time of the inspection three people lived together in the home.

People’s experience of using this service and what we found

The home had been developed and designed in line with the principles and values that underpin Registering the Right Support. Work was underway to enhance the principles and values behind this and other best practice guidance. This meant that staff were working to ensure that people who use the service could live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

Whilst this work was being undertaken by the provider organisation, people's care was not always delivered in line with the Mental Capacity Act and restrictive practices were not being monitored effectively. There was a breach of regulation.

People were supported by staff who cared about them and worked together to meet people’s individual needs. Staff felt well supported and happy in their roles. This helped to create a relaxed and happy atmosphere for people to live in.

People were supported by staff who knew them well and were able to communicate with them This enabled people to make choices about their day to day routines. Work to enhance communication skills and systems within the home was ongoing.

People were supported by adequate numbers of trained and experienced staff to keep them safe and meet their needs. The provider had a robust recruitment process which helped to minimise the risks of abuse to people. People were very comfortable and relaxed with the staff who supported them. The specialised training needs of the staff team were being addressed. We have made a recommendation about the monitoring of how this training is implemented and embedded.

People’s needs were assessed, recorded, reviewed and met. Each person had a support plan which gave staff guidance about how people preferred to be cared for. Staff knew people well and were able to provide personalised support to people.

The provider worked with other health and social care professionals to make sure people received the care and treatment they required. This included meeting changing health care needs.

People benefitted from a provider and management team who has systems in place to monitor quality and implement improvements to the service people received. Recording was not always adequate to ensure monitoring was effective. We received assurances from the registered manager and senior staff that this would be addressed.

You can see what action we have asked the provider to take at the end of this full report.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection. The last rating for this service was good (published January 2017). There were no breaches of regulations.

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Good

Updated 31 October 2019

The service was safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 31 October 2019

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 31 October 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 31 October 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 31 October 2019

The service was not always well-led.

Details are in our well-led findings below.