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Inspection Summary


Overall summary & rating

Good

Updated 7 August 2018

The inspection took place on 13 and 14 June 2018 and was announced.

The Dukes House 3 is a 'care home'. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The Dukes House 3 is registered to provide accommodation for up to six people. The service specialises in providing support to people with a learning disability and or autism who need support with their personal care. On the day of our inspection there were four people living at the service, two of whom occupied bedrooms within the main body of the house and two people, occupied their own flats which have been added to the building. The accommodation was provided over three floors. Access to the upper floors was by way of stairs. There was a secure communal garden to the rear of the property and secure entry system to the front of the property.

The Dukes House 3 has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.' Registering the Right Support CQC policy'.

At the last inspection on 19 and 25 November 2015 the service was rated Good. At this inspection we found the service remained Good.

Why the service is Good.

The service had a relaxed feel and people could move freely around the service as they chose. People were supported to have maximum choice and control over their lives and participate in activities they enjoyed.

People’s individual needs had been assessed and used to develop support plans. These provided staff with guidance about the care and support people needed and how they wanted this to be provided. People were consulted about their care to ensure wishes and preferences were met.

People chose how to spend their day and encouraged to be independent in all aspects of their lives and take responsibility for their own cleaning, laundry and personal shopping.

People received a varied and nutritional diet that met their preferences and dietary needs.

People were supported by a consistent staff team who knew them well. Staff had been recruited safely and had the skills and experience to meet people’s needs and provide effective care. A health care professional told us that the lives of people had improved since moving into the service.

People received their medicine safely and were supported to access the support of health care professionals when needed. People were protected from the risk of abuse because staff understood how to identify and report it.

Staff considered peoples capacity using the Mental Capacity Act 2005 (MCA) as guidance. The provider was meeting the requirements of the Deprivation of Liberty Safeguards (DoLS).

The management and the staff team worked in collaboration with external agencies to provide good outcomes for people. Staff felt any concerns would be taken seriously and acted on. Processes were in place to assess and monitor the quality of the service provided and drive improvement.

Further information is in the detailed findings below.

Inspection areas

Safe

Good

Updated 7 August 2018

The service has improved to Good.

There were sufficient numbers of safely recruited staff to meet people's needs.

People were protected from abuse and received their medicines safety.

The environment and equipment were clean and well maintained.

Effective

Good

Updated 7 August 2018

The service remains Effective.

Caring

Good

Updated 7 August 2018

The service remains Caring.

Responsive

Good

Updated 7 August 2018

The service remains Responsive.

Well-led

Good

Updated 7 August 2018

The service remains Well-Led.