66 Dudley Street

Updated 28 May 2020

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

The inspection was carried out by one inspector.

Service and service type

66 Dudley Street is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with two members of staff, a senior carer and the area manager. We reviewed a range of records. This included two people’s care records and multiple medication records. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection –

We spoke with four relatives to gain their feedback on the support provided at the home. We sought further clarification from the provider based on the feedback given. This included reviewing staff rotas’, complaints, and weight records.

Updated 28 May 2020

About the service

66 Dudley Street is a residential care home providing personal care to five people who have a Learning disability at the time of the inspection. The service can support up to six people.

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

People and their relatives did not always feel engaged or involved with the service and reported a lack of communication between management. Systems in place to monitor quality had not always identified omissions in care records.

People were kept safe by staff who knew how to report concerns of abuse and manage risks. There were sufficient numbers of staff in place and recruitment was ongoing to improve consistency for people. Medicines were managed in a safe way and there were effective infection control practices in place.

People were supported by staff who had received training and supervision. People’s dietary needs had been met, and people had access to healthcare services where needed.

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.

People were supported by staff who were kind and caring to them. People were provided with choice and their independence was encouraged.

Staff knew people well and records held personalised information about people’s preferences with regards to their care. People had access to social activities that met their interests. Complaints made had been investigated.

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.

The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

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 good (published 03 October 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

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.