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Inspection Summary


Overall summary & rating

Good

Updated 10 November 2018

Durlands Road provides care and support for up to four people with a learning disability and autism. At the time of our inspection there were four people living at the service. The service is located in a quiet residential area, close to local amenities. There is parking to the front of the service and a garden at the rear.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

At this inspection we found the service remained Good.

People’s capacity had not always been considered and documented in line with legislation and guidance. We made a recommendation regarding working in accordance with the Mental Capacity Act (MCA) Code of Practice. However, staff were knowledgeable about the MCA and how they supported people in making their own choices and decisions.

Communication and feedback systems were in place for staff such as meetings and records. Relatives we spoke with said communication could be improved.

Staffing levels were safe. Staff were caring, consistent and experienced. Staff received an induction and regular training.

Medicines were stored and administered safely. Risk assessments and guidance were in place to support people whilst ensuring people’s independence was promoted.

Care plans were person centred and supported people to pursue activities of their choice.

People’s health needs were met. Care plans gave guidance around specific health conditions and dietary information.

There was a positive and enthusiastic staff culture. Staff worked well as a team to provide consistent care and support which met people’s needs.

Systems were in place to monitor and review the quality of the service. Regular checks of the environment and fire safety equipment were conducted.

Further information is in the detailed findings below

Inspection areas

Safe

Good

Updated 10 November 2018

The service remained Good.

Effective

Requires improvement

Updated 10 November 2018

The service was not consistently effective.

Capacity assessments were not always kept in line with legislation and guidance. There was no clear overview of people’s Deprivation of Liberty Safeguard authorisations.

Staff supervision had not regularly occurred for some staff members.

Staff received an induction and on-going training.

People were supported with their health, nutrition and hydration needs.

Caring

Good

Updated 10 November 2018

The service remained Good.

Responsive

Good

Updated 10 November 2018

The service remained Good.

Well-led

Good

Updated 10 November 2018

The service remained Good.