- Care home
Dorandene - Care Home Learning Disabilities
Report from 24 January 2024 assessment
Contents
Ratings
Our view of the service
Date of assessment 10 April to 30 May 2024 We completed this assessment to follow up on the warning notices we issued at the last inspection (report published 3 May 2023). Dorandene – Care Home Learning Disabilities is a care home registered to provide accommodation and personal care for up to 9 people with learning disabilities and/or autistic people. The overall rating for the service is requires improvement. At our last inspection, we identified breaches of regulation. During this latest assessment, we identified areas for further improvement but there had been an overall improvement of the quality of care provided to people. We found a management team that was willing to engage with partners and took our findings on-board to address areas we identified. People were generally treated with dignity and respect. Where we identified instances of staff not always seeking consent prior to commencing a task, the management team intervened proactively and coached staff on the right approach. The providers governance and management systems were not always effective and did not help improve the service. The provider was aware of this and had started to recruit to a new role to oversee the services. In the meantime, the provider was directly overseeing the service. Staff felt supported by the management team but some opportunities for staff to speak up had been missed. ‘Right support, right care, right culture’ (RSRCRC) is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it. During this latest assessment, we identified that the service was not always meeting the RSRCRC guidance. However, the provider provided assurances that they had a comprehensive service improvement plan in place and positive progress had been made in relation to this.
People's experience of this service
We communicated with all people living at the service at the time and spoke with several relatives about their experience of the service. People and their relatives told us they felt people were generally safe at the service but that there were still areas of improvement in relation to the culture of the service and staff. Staff were working better with professionals and other external partners. We also observed interactions between staff and people living at the service. We found that people were treated with respect and dignity, and where staff did not do so, the management team intervened immediately.