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Inspection Summary


Overall summary & rating

Good

Updated 15 February 2018

Downshire House is a care home without nursing which is registered to provide a service for up to eight people with learning disabilities and some with physical disabilities. Some people had other associated difficulties such as being on the autistic spectrum. There were eight people living in the service on the day of the visit. All accommodation is provided within a detached three story house near to local amenities and the centre of the town of Reading.

At the last inspection in 7 December 2015 the service was rated Good overall with Requires Improvement in Safe (No breach). We found that some fire doors were being propped open which had the potential to put people at risk in the event of a fire.

This unannounced inspection took place on 10 January 2018. At this inspection we found the service remained Good overall. Further steps had been taken to address the previous concerns and we found that improvements had been made. However, we found that the recruitment processes were not always sufficiently robust and had the potential to put people at risk of unsuitable staff. Therefore the service remains Requires Improvement in Safe.

Why the service is rated Good overall:

There is a registered manager running the service. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People’s safety was contributed to by staff who had been trained in safeguarding vulnerable adults and health and safety policies and procedures. Staff understood how to protect people and who to alert if they had any concerns. General risks and risks to individuals were identified and appropriate action was taken to reduce them.

There were enough staff on duty at all times to meet people’s diverse, individual needs safely. The service had a stable staff team. The service required improvements to its recruitment procedures. References were not always pursued from previous employers and full work histories were not always obtained. People were given their medicines safely, at the right times and in the right amounts by trained and competent staff.

The service remained effective. Staff were well-trained and able to meet people’s health and well-being needs. They were able to respond effectively to people’s current and changing needs. The service sought advice from and worked with health and other professionals to ensure they met people’s needs.

People were encouraged to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practise.

The service continued to be caring and responsive. The committed, attentive and knowledgeable staff team provided care with kindness and respect. Individualised care planning ensured people’s equality and diversity was respected. People were provided with a wide variety of activities, according to their needs, abilities, health and preferences.

The registered manager was well thought of and respected. The quality of care the service provided continued to be assessed, reviewed and improved, as necessary.

Inspection areas

Safe

Requires improvement

Updated 15 February 2018

Improvements had been made to the fire doors which the fire authority had seen and noted.

The service remains requires improvement due to deficits in their recruitment practice.

Effective

Good

Updated 15 February 2018

The service remains good.

Caring

Good

Updated 15 February 2018

The service remains good.

Responsive

Good

Updated 15 February 2018

The service remains good.

Well-led

Good

Updated 15 February 2018

The service remains good.