- Care home
Dunraven House and Lodge
Report from 17 July 2024 assessment
Contents
Ratings
Our view of the service
Date of assessment 31 July to 29 August 2024. The assessment was initiated due to concerns raised with us about how people were being supported. There were some people who had learning disabilities and autistic people using the service, for these people we assessed the service in line with ‘Right Support, Right Care, Right Culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted. We found the service was not being managed in line with Right Support, Right Care, Right Culture. People often spent large parts of their day either within the homes or at the day service run by the provider. This put people at risk of closed cultures because they did not engage with other people within their community and had less opportunity to engage with others who were not from the service, either other residents or paid employees. People were not always supported in a person-centred way nor were they always supported in the least restrictive way. Staff had not received appropriate training that enabled them to always support people safely. We identified 4 breaches of the legal regulations relating to person-centred care, safe care and treatment, safeguarding and good governance. We have asked the service to take urgent action to ensure people were being supported safely. The service must take action to demonstrate they have identified and implemented improvement to ensure the service is supporting people appropriately. In instances where CQC have decided to take civil or criminal enforcement action against a provider, we will publish this information on our website after any representations and/ or appeals have been concluded.
People's experience of this service
People’s experience of the service was mixed. Some people and families told us they felt they were unable to speak out and ask for things as they would be “told off” by management. People also told us managers made them do things such as inhouse activities even when they said they didn’t want to do. Whilst talking to people the inspectors saw that some people were only willing to talk to them when managers were not around. Other people and their families told us they were happy and liked how they were supported.