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Dixon House Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 2 April 2020

About the service

Dixon House is a residential care home providing personal care and support for up to 11 people with a learning disability. This is larger than current best practice guidance. However, the potential negative impact of the home being bigger than most domestic properties was eased by the building design fitting into the residential area. At the time of the inspection eight people were using the service.

The service in the main, 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 opportunities for them to gain new skills and become more independent. Some progress was needed with goal planning and this was ongoing.

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

People and their relatives were happy with management of the service. However, the provider had not given proper attention to overseeing the service and checking people were receiving safe and effective care. There had been changes in management and leadership which had an influenced on the day to day running of the service. Staff did not have access to policies and procedures to guide their conduct and there were no development plans for the service.

People said they felt safe at the service, but we found the provider had not ensured people were provide with a safe environment. Some risks had not been properly assessed and managed. We found some shortfalls with the support people received with medicines. We have therefore made a recommendation about the management of medicines. Staff were aware of safeguarding and protection matters. Staff recruitment checks had not always been fully completed, the registered manager took action to introduce better systems.

Although people were happy with the support they received, there were some shortfalls with ensuring staff had enough skills and knowledge. We made a recommendation about staff training and development. Some progress was needed to ensure people’s assessed needs could be appropriately met at the service and in providing a homelier environment. 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. People were satisfied with the variety and quality of the meals. People were supported with their healthcare needs.

People made positive comments about the caring and friendly attitude of staff and said their privacy and dignity was respected. Staff were respectful of people's choices and opinions and had an awareness of their individual needs. Staff had enough time to support people and listen to them.

People had a support plan to respond to their needs and choices. People were supported with their chosen activities, relationships and community involvement. Activities and goal planning were not properly included in people’s support plans, but the registered manager agreed to make improvements. People did not have any complaints about the service they received. They had access to a complaint's procedure and were confident they could raise any complaints and concerns.

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 2 September 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

At this inspection we have identified breaches in relation to risks to people’s health, safety and wellbeing and monitoring and oversight of the service. Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to ensure improvements are made. We will monitor the progress of improvements, working alongside the provider and local authority. We will return to visit as per our re-inspection

Inspection areas

Safe

Requires improvement

Updated 2 April 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 2 April 2020

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 2 April 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 2 April 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 2 April 2020

The service was not always well-led.

Details are in our well-Led findings below.