Durham Street

On this page

• Overview
• Learning culture
• Safe systems, pathways and transitions
• Safeguarding
• Involving people to manage risks
• Safe environments
• Safe and effective staffing
• Infection prevention and control
• Medicines optimisation

People’s needs were reflected in their care plans and risk assessments. Care plans and risk assessments were informative and gave good guidance for staff and people to follow. People were administered their medication safely and medication care plans and risk assessments gave good guidance to staff for administering medication. The provider has systems and processes in place to safeguard people from the risk of abuse and staff received safeguarding training. There were processes in place to review accidents and incidents and lessons were learnt to drive improvements in the service. There were enough staff to ensure people received safe care.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

People told us they get information about their health and staff support them to stay healthy.

Staff received feedback about incidents and safeguarding referrals, a staff member said, “Yes we get feedback, we would have a meeting to put measures in place, so it does not happen again."

The provider had processes in place for staff to learn from accidents and incidents. Lessons learnt were in place and de-briefs when required.

People told us staff listened to them and had plans in place for when they moved to other services. A relative said, “[Person’s name] had a really smooth transition to the service.

The manager told us they have a good relationship with providers and community services and multi-disciplinary meetings took place to support future planning for people.

Professionals told us they service is very responsive, and they are kept up to date with people’s care. One professional said, “They always take on board any recommendations we make and make changes accordingly."

Care and support is planned with people. Care plans and risk assessments identified current needs to ensure people had a smooth transistion into the service.

People told us they were safe. Comments from people were “Yes, I am 100% safe” and, “I feel safe here and can talk to staff.”

Staff received safeguarding training and were clear about their responsibilities in to responding to and reporting any safeguarding concerns.

We observed, good kind interactions between staff and people. People appeared comfortable in the presence of staff and conversations were jovial at times.

The provider had a system in place to review safeguarding. Analysis and trends were completed for safeguarding referrals.

People were involved in managing risks. People told us staff talk to them about their risks. A relative said “We have input, staff have learnt from me and my family how best to support them.”

People and their families were involved in risk assessments. Staff told us if risks changed, they would be reviewed with the person and/or family and control measures would be put in place to support and reduce the risks.

People could make choices about their care and positive risk-taking measures were in place. We observed care being person centred and people were supported to be independent.

Risk assessments were person centred and regularly reviewed. People had positive behaviour support plans in place, and these reflected well how people should be supported to reduce their risks.

People told us they understood what action to take if there was a fire. A relative said, “They [Staff] have fire drills so [Person’s name] knows what to do."

Staff told us the service was well maintained and a handy man would ensure all repairs were completed on time. The manager told us, regular checks and audits were completed.

The environment met the needs of the people being cared for. There was a sensory room in place for people to use. We observed a good standard of maintenance throughout the home.

Health and safety of the home was regularly maintained. Action plans were in place for work that required completing and the manager was aware of this. All relevant health and safety certificates were in place and up to date.

People told us there were enough staff to keep them safe.

Staff told us there was enough staff to care for people safely. A staff member said, “We would be supported to do further training if we requested it.”

We observed enough staff on shift to care for people safely. People that required 1-1 support received that support from staff.

People were recruited safely and there were appropriate staffing levels and skill mix to ensure people received safe, consistent care. Staff were in date with mandatory training.

People told us they thought the home was clean and well maintained. A relative said “It is clean and freshly decorated.”

Staff understood how to keep the home free from infections and could explain the Infection, prevention and control (IPC) process and how effective good handwashing helped in reducing the spread of infections.

The service had laminated signs directing people to good handwashing. It was clean and free from clutter. Bedrooms were personalised and homely. People told us they were supported to keep their room clean and tidy.

There was an up-to-date IPC policy in place. All relevant recording was completed, and audits were in place to review with action plans and time frames.

People told us staff support them with their medication. One person said, “I will ask for tablets for my anxiety, and they [Staff] get them for me.”

We spoke with 2 carers who were responsible for the oversight of medication. Staff competencies were in the process of being re-organised and a thorough training matrix was in place.

Medicines were administered safely and stored securely. Stock level checks were routinely carried out. Policies and procedures were clearly organised so staff could locate the relevant paperwork. Audits of medication were carried out and any shortfalls identified, and action plans were in place.