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Duxbury House Residential Care Home Good

Inspection Summary


Overall summary & rating

Good

Updated 4 November 2021

About the service

Duxbury House is a care home providing personal care to six people at the time of the inspection. The service can support up to six adults living with a learning disability and mental health conditions. Duxbury House is situated in a residential area of Blackpool close to the promenade. A lounge, dining room and paved external areas are available for people to choose where to relax.

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

Staff demonstrated a good awareness about safeguarding people from harm or abuse. The registered manager completed risk assessments to guide staff to support each person safely. People stated they felt safer with staff administering their medicines and confirmed they received them on time. The home was clean throughout and there were good stocks of PPE for staff use during the current pandemic. Staff went about their duties calmly and patiently, spending time sitting down talking with people.

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. We found elements of care plans included recorded actions to assist people that were strict in nature, which could infer restrictive practice.

We have made a recommendation about support planning.

The registered manager and staff worked in a multi-disciplinary approach with local services to optimise continuity of care. Care records contained risk assessments to mitigate the risk of malnutrition. The registered manager provided a training programme to develop staff skills.

The registered manager and staff were respectful of people’s diverse cultures. Care and communication included detailed recording of people’s backgrounds and life stories to increase awareness of each person and their needs.

The registered manager engaged with people to understand their life histories and create personalised care plans. They and their staff provided regular and ad hoc activities to maximise people’s wellbeing and social skills. The provider had not received any formal complaints, but provided information to people about raising issues they may have.

People and staff talked about an open culture where they were encouraged to raise any concerns or suggestions about improving the service. The registered manager regularly completed audits to check everyone’s safety and welfare.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, Right Care, Right Culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.

This service was able to demonstrate how they were meeting the underpinning principles of Right Support, Right Care, Right Culture. Staff supported people to make their own decisions and lead discussions on what they wanted to do. Staff were consistently kind and respectful, ensuring each person maintained their independence and privacy. People confirmed they were happy and settled at Duxbury House.

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 07 December 2017).

Why we inspected

The inspection was prompted in part due to concerns received about food hygiene, choice and liberty, management of people’s finances and support for them to access medical treatment services. A decision was made for us to inspect and examine those risks.

We found no evidence during this inspection that people were at risk of harm from these concerns.

We looked at infection prevention and control measures under the safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Duxbury House on our website at www.cqc.org.uk.

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.

Inspection areas

Safe

Good

Updated 4 November 2021

The service was safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 4 November 2021

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 4 November 2021

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 4 November 2021

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 4 November 2021

The service was well-led.

Details are in our well-led findings below.