Table of Content
People also felt they could report any concerns to the management team and felt they would be taken seriously. People were supported to receive their medicine as they required them. People who used the service were safe as the provider had systems and processes in place to protect them from risk to their safety. They were supported by suitably trained staff who had an understanding of their responsibility to protect people from abuse. This included four people’s care records and three medication records.
The service supported people to maintain important relationships and respected people’s religious and cultural beliefs. People had very few complaints, but those which had been raised were looked into appropriately. We saw that when people’s needs increased the manager made appropriate referrals for them to be seen by health care professionals. This meant that they could maintain people’s good physical health. They also told us how they supported one person with increased support needs. The summary is based on our observations during the inspection, discussions with people using the service, the staff supporting them and looking at records.
Tell us about your care
Staff were aware of the principles within the Mental Capacity Act and had not deprived people of their liberty without applying for the required authorisation. We also found staff were aware of the principles within the Mental Capacity Act and had not deprived people of their liberty without applying for the required authorisation. CQC register Dovetail House to carry out these legally regulated activities. Contact us if you think Dovetail House is operating services not listed here. We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme.
Staff told us about activities that people enjoyed and shared their frustrations that these did not always take place. Staff told us how they worked extra hours and flexibly to try to ensure people got to enjoy planned activities. If you wish to see the evidence supporting our summary please read the full report. Quality monitoring systems were in place to monitor the some aspects of the service but some environmental auditing had not been carried out by the management team. We will minimize, reuse and reuse all materials wherever possible.
Care Quality Commission inspection rating
The manager told us how they had followed up on poor practice by taking the appropriate action. For example they had started disciplinary action against one staff member following an allegation of suspected abuse. People were treated in a respectful and caring way and staff delivered support in a relaxed and considerate manner. People received their medicines as prescribed and the management of medicines promoted people’s safety.
Although we did not observe anything to suggest people’s basic care needs were not met, staff told us that people often had to wait for support. Opportunities to access the local community or take part in in-house activities were limited. We saw that care plans were in place however some staff told us that they did not know what information was contained within them. They told us that in order to know how to support a person they watched other staff. We saw that one person was not getting appropriate support to have their lunch.
Disabled Children’s Support Services
The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements as a result of this inspection. Although we had planned to inspect Dovetail House, we bought the visit forward after we received concerns about the service. People felt they could report any concerns to the management team which they felt would be taken seriously and acted upon.
People who used the service, or their representatives, were encouraged to be involved in planning their care. People received individualised care from staff who know their needs. They were supported to undertake social activities of their choice and maintain relationships with people who mattered to them. People received care from staff who were kind and respectful and people were encouraged to contribute to the planning of their care.
We looked at surveys the provider had sent to people who used the service and their relatives and representatives in October 2012. This information told us what some people’s experiences and views were about the service they received. Inadequate staff on duty meant that people’s needs could not be met in a timely manner or in ways that people preferred.
– there are some services which we can’t rate, while some might be under appeal from the provider. Suspended ratings are being reviewed by us and will be published soon. – the service is performing badly and we've taken enforcement action against the provider of the service. In this report the name of a registered manager appears who was not in post and not managing the regulatory activities at this location at the time of the inspection. Their name appears because they were still a Registered Manager on our register at the time. People were supported by sufficient numbers of staff with appropriate skills and experience.
Dovetail House is a care home for up to 20 men and women with an acquired brain injury or Huntingdon’s Disease. On the day of our inspection 13 people were using the service. The service is provided across two floors with a passenger lift connecting the floors. The Registered Provider must not provide nursing care under accommodation for persons who require nursing or personal care at Dovetail House. People’s need’s and choices were assessed on admission and were met by staff who had been appropriately trained. People’s eating and drinking requirements were met and they were assisted to access appropriate healthcare.
We found at this inspection that the required improvements had been made. We spoke with staff on duty who told us that there was not enough staff on duty to meet people’s care and support needs effectively or consistently. We saw records that reflected people were entitled to one to one support.
We also spoke with the newly appointed manager and the person responsible for overseeing the management of the home . Staffing levels were sufficient to support people’s holistic needs and they received care and support when it was required. People’s nutritional needs were well managed and people received the support they required. There was good collaboration between the staff and health professionals to ensure people’s health needs were met.
They inspect care homes and care services to make sure they are safe, caring, effective, responsive and well-led. Staff had received training in protection of vulnerable adults to ensure people were protected from the risk of abuse. This inspection took place on 15 May 2017 and was unannounced. The service provides care and support for up to 20 people with mental health and learning disabilities resulting from brain injury. On the day of our inspection 10 people were using the service. We reviewed information we had received about the service since the last inspection.
No comments:
Post a Comment