11 March 2022
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
As part of CQC’s response to care homes with outbreaks of COVID-19, we are conducting reviews to ensure that the Infection Prevention and Control (IPC) practice is safe and that services are compliant with IPC measures. This was a targeted inspection looking at the IPC practices the provider has in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.
This inspection took place on 18 February 2022 and was announced. We gave the service 24 hours notice of the inspection.
11 March 2022
About the service
1-2 Dalby View is a care home providing personal care and support to eight younger adults, some of who may be living with learning disabilities and autism. There were eight people using the service at the time of the inspection.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People’s experience of using this service and what we found
Improvements had been made since the last inspection and these included improvements to the environment, record keeping and governance.
The service was registered to support eight people. Care and support was provided from two adjoining bungalows each one accommodated four people. It therefore conformed with current best practice guidance.
The atmosphere was bright and welcoming and the buildings were better-maintained with a good standard of hygiene. There was a stronger, more effective governance system in place. Processes were in place to manage and respond to complaints and concerns.
There were enough staff available to provide individual care and support to each person. Staff upheld people's human rights and treated everyone with respect and dignity. Communication was effective and staff and people were listened to. Staff said they felt well-supported and were aware of their rights and their responsibility to share any concerns about the care provided.
Information was accessible to involve people in decision making about their lives. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.
People were extremely well-cared for, relaxed and comfortable. Staff knew the people they were supporting very well and care was provided with patience and kindness. Staff ensured people's privacy and dignity were always respected.
The service was flexible and responsive to people's needs and was able to accommodate changes to them. Records were personalised, up-to-date and accurately reflected people's care and support needs. Care was centred and tailored to each individual. Risk assessments identified current risks to the person as well as ways for staff to minimise or appropriately manage those risks.
People, relatives and staff were confident about approaching the management team if they needed to. They were complimentary about the team and the workforce. There was evidence of collaborative working and good communication with other professionals to help meet people's needs.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (published 19 January 2019) and there were two breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
This was a planned inspection based on the previous rating.
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.