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Royal Mencap Society - Drummond Court Good Also known as Drummond Court

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Good

Updated 20 December 2017

Drummond Court is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and care provided, and both were looked at during this inspection. Drummond Court provides accommodation and personal care for up to 36 people who have learning disabilities and/or autistic spectrum disorder. At the time of our inspection there were 28 people using the service.

This unannounced inspection took place on 14 and 15 November 2017.

There were two registered managers in post when we inspected the service. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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.

We brought forward this inspection due to concerns of which we had become aware that had been reported to the local authority safeguarding service. These concerns included a person not having an appropriate lunch prepared for them when away from the service for the day, people having ill- fitting or were wearing other people’s clothes and looking unkempt and a two-way communication book used by Drummond Court staff and another service not being completed or sent with the person when attending another service. We spoke with the local authority safeguarding team and learnt that these concerns had not been substantiated by them and had been closed.

The overall rating of this service was Requires Improvement at our last inspection of 23 and 26 May 2016. The key questions Safe and Effective were rated as Requires Improvement. Care, Responsive and Well-led were rated as Good.

At this inspection we found the service had improved and is now rated ‘Good’ overall. There had been improvements made in the service. This included much clearer and robust moving and handling risk assessments being in place and staff knowing how to support people with regard to their moving and handling needs. Monitoring of medicine stocks had been increased and staff were knowledgeable about people’s medicines and why they had been prescribed. Staff were aware of people’s assessed needs including those people requiring support to manage their diabetes.

The care service 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

The staff demonstrated a clear understanding of the actions they would take if they suspected or witnessed any concerns about people’s safety. Risks were assessed and management plans were in place to minimise the risk to people’s safety while respecting their right to pursue interests of their choice. Medicines were managed safely and sufficient numbers of trained staff were deployed to meet people’s needs.

Staff had received infection control training and used this information for the storage of food and cleanliness of the accommodation.

The registered managers learned from incidents or accidents within the service and made the necessary improvements. They shared this information with the staff through supervision and staff meetings.

Staff were provided with a wide range of training appropriate to the various needs of the people living at the service. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. People were provided with a healthy and well balanced diet and were encouraged to take part in the preparation of meals.

Other professionals worked with staff so that people had access to healthcare services a

Inspection areas

Safe

Good

Updated 20 December 2017

The service was safe.

There were sufficient numbers of staff employed to keep people safe.

There were systems in place for the safe recruitment of staff.

Risks to people’s well-being were assessed and plans were in place to minimise the risks.

Medicines were administered to people as prescribed.

Staff had received training regarding infection control and food hygiene and the premises and equipment were clean.

Lessons had been learnt when things had gone wrong and these were used to improve the quality of care people received.

Effective

Good

Updated 20 December 2017

The service was effective.

Staff were provided with supervision and a yearly appraisal.

Deprivation of Liberty Safeguards (DoLS) were understood by the staff and appropriate referrals made.

People’s dietary needs were assessed and people had access to on going healthcare support

The service accommodation was being refurbished at the time of the inspection.

Caring

Good

Updated 20 December 2017

The service was caring.

Staff listened to people and treated them with care and compassion.

People’s dignity and privacy were respected.

People’s choices were sought and they were involved in making decisions about their care.

Responsive

Good

Updated 20 December 2017

The service was responsive.

People’s on-going needs were assessed and support planned in response.

There were procedures in place to handle people’s complaints and record compliments.

Each person had a person-centred care plan which recorded their hobbies, interests and how to support them to pursue those activities.

Well-led

Good

Updated 20 December 2017

The service was well-led.

People’s views of the service were sought.

There were quality assurance systems in operation.

The service worked in partnership with other organisations