Background to this inspection
Updated
12 January 2019
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This was a comprehensive inspection. It took place on 17 December 2018 and was unannounced. One inspector undertook this inspection.
Before our inspection visit we contacted the Local Authority commissioner. They had no information of concern about the service. We also looked at information we had received from people who shared their experience; and from notifications of events we had received from the provider. We also looked at the Provider Information Return sent to us by the provider. This is a form that asks the provider to give some key information about the service, including what they do well and improvements they plan to make.
During our visit we spoke with the registered manager, deputy manager, and five care staff. We spent time in the company of people who lived at the home to gain an insight into people’s lived experience, and spoke with two people. We saw medication being administered; we checked two people’s care records, and sampled medicine records and audits undertaken by management.
Updated
12 January 2019
This inspection took place on 17 December 2018 and was unannounced.
Danzey Green is a care home registered for a maximum of 12 people with learning disabilities and autism. The home comprises of a row of three bungalows. Staff have access to each bungalow via the back doors and the secure garden. Whilst the service is registered for 12 people, the registered manager informed us, the maximum number of people they would admit to the home was nine.
Each bungalow consisted of four bedrooms, a kitchen/diner, a communal bathroom, a toilet, and a living room.
The home was registered with the CQC prior to the CQC’s publication of ‘Registering the Right Support’ guidance for homes for people with learning disabilities and autism. However, the service provided at Danzey Green is in-line with best practice identified in our publication. Eight people lived at the home at the time of our inspection visit.
At our last inspection we rated the service as ‘good’. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.
The service continued to be safe. Each bungalow was clean and tidy and staff understood infection control practice. Staff understood the risks to people’s health and wellbeing and took action to lessen each risk. There were enough staff on duty to meet people’s needs; and checks had been made on staff before working for the service to make sure they were safe to work with people. People received their medicines as prescribed.
The service continued to be effective. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The principles of the Mental Capacity Act (MCA) were followed. People had access to different health and social care professionals. People received food they enjoyed, and were involved in menu planning. Staff had received the training they needed to provide effective care.
The service continued to be caring. People received care from staff who were kind, and treated them with dignity and respected their privacy. Staff had developed positive relationships with the people they supported, they understood people’s needs, preferences, and what was important to them. The service supported people to maintain relationships with their family.
The service continued to be responsive. People’s needs were assessed and planned for with the involvement of the person. Care plans helped staff understand people’s care and support needs. People had opportunities to pursue their interests and hobbies, and social activities were offered. There was a complaint procedure although no complaints had been made to the service since our last inspection. Staff knew how to support people well with end of life care.
The service continued to be well-led. The registered manager worked hard to ensure a good quality of service was maintained. The registered manager provided good support to the staff group, and to people who lived at the home. Checks were made to ensure the service met its obligations to provide safe accommodation to people and to deliver care and support which met people’s individual needs.