David House

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• Overview
• Kindness, compassion and dignity
• Treating people as individuals
• Independence, choice and control
• Responding to people’s immediate needs
• Workforce wellbeing and enablement

We assessed a total of 1 quality statement from this key question. We have combined the scores for this area with scores based on the rating from the last assessment, which was good. Our rating for this key question remains good. People’s choices were respected and they were involved in their care. People were supported to be as independent as possible.

This service scored 70 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Kindness, compassion and dignity during this assessment. The score for this quality statement is based on the previous rating for Caring.

We did not look at Treating people as individuals during this assessment. The score for this quality statement is based on the previous rating for Caring.

People were supported to understand their rights and had choice and control about how they wanted to receive care and support from staff. One person told us, “They have told me what my rights are.” Another person said, “I feel like my rights are respected.” People’s family and friends were free to visit when they wished. There were no restrictions placed on when they could visit the service. One person told us, “My family can come and visit and I go and stay with my [relative] as well.” People undertook activities at the service and in the community which supported their independence, health and wellbeing. One person told us how staff had supported them with an activity of their choice, which had had a positive effect on their wellbeing.

Staff understood that people should be supported to have choice and control and make decisions about the care and support provided to them. A staff member told us, “With food I always ask people and give them choices. For people who are non-verbal we show them options and let them choose. Because I have been supporting people a while I know what people like or don’t like so know what people might like.” Another staff member said, “People have a choice to refuse care and we respect that. I support a person who is non-verbal and I watch for signs that they might want to change clothes and wear something different, and you respect that.” Staff understood the importance to people of maintaining contact with family and friends. A staff member told us, “Lots of friends and family stay in touch regularly. Some people have mobile phones and we help them to use this to stay in touch with people. Families can come at any time and there are no restrictions.” Staff supported people to take part in a wide range of activities to support their independence, health and wellbeing. A staff member told us, “We have an activity plan for every resident. People here do different things based on their individual need. Some people like structure but others are more flexible and might choose to go shopping or go for a walk.”

Staff offered people choice about how they would like their care and support provided. People were encouraged to state their preferences and staff respected their choices, which helped people maintain control over how their care and support was provided.

People’s care records and support plans identified what people were able to do for themselves and where they required support. They focused on where people were able to maintain their independence and how to provide support in line with their choices.

We did not look at Responding to people’s immediate needs during this assessment. The score for this quality statement is based on the previous rating for Caring.

We did not look at Workforce wellbeing and enablement during this assessment. The score for this quality statement is based on the previous rating for Caring.