Dunelm

Updated 13 June 2019

The inspection:

We carried out our inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. Our inspection checked whether the provider was 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.

Inspection team:

Our inspection was completed by one inspector.

Service and service type:

Dunelm is a care home that provides accommodation and support with personal care and nursing as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection:

Our inspection took place on 9 May 2019 and was unannounced. This meant staff did not know we were visiting.

What we did:

Our inspection was informed by evidence we already held about the service such as notifications. A notification is information about important events which the provider is required to tell us about by law. We also checked feedback we received from members of the public and local authorities.

We asked the service to complete a Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.

During the inspection we observed people's interactions with people and spoke by telephone with two relatives. People were not able to share their experience with us due to verbal communication difficulties.

We spoke with two care staff, an activities coordinator, a nurse and the registered manager. We also spoke with a visiting healthcare professional.

We reviewed three people's care records, four staff personnel files, audits and other records about the management of the service.

After the inspection we continued to seek clarification from the provider to corroborate evidence found. We looked at additional evidence which the provider sent us and the information was used as part of our inspection.

Updated 13 June 2019

About the service:

Dunelm is a residential care home that is registered to provide accommodation, personal and nursing care to 12 people with a learning disability. At the time of the inspection, 11 people were using the service.

People's experience of using this service:

The principles and values of Registering the Right Support and other best practice guidance ensure people with a learning disability and or autism who use a service can live as full a life as possible and achieve the best outcomes that include control, choice and independence. At this inspection the provider had ensured they were applied. The outcomes for people using the service reflected the principles and values of Registering the Right Support in the following ways; people's support focused on them having opportunities to, remain, and become more independent.

People who used the service were not able to tell us about their experience, but two relatives we spoke with were satisfied with the service. Each person had a risk assessment which identified possible risks and provided guidance for staff on how to manage the risks. Staff had knowledge of adult safeguarding which meant that they knew how to recognise and report incidents of abuse. New staff were checked through the provider's staff recruitment processes and this meant that staff employed were safe to support people in a care home. There were enough staff to meet people's needs.

Relatives told us staff had knowledge and skills to meet people's needs. Staff received induction and training and felt supported by the registered manager.

Arrangements were in place to ensure staff received supervision and appraisals. Staff supported people to eat and drink. They also supported people to access healthcare services.

People were supported to have maximum choice and control of their lives and staff did support them in the least restrictive way possible; the policies and systems in the service did support this practice.

Staff were kind and caring. Relatives told us staff listened to them and communication with the service was good. Staff had good awareness about equality, diversity and human rights.

People had care plans which identified their needs and how they wanted staff to support them. There were a range of activities within the service which people benefitted from. There was a complaints procedure in place.

The registered manager carried out a range of audits to ensure the service was running well, and areas of improvements were identified and acted on. Relatives and staff gave positive feedback about the registered manager. The auditing of various aspects of the service enabled the registered manager to provide safe care and, as appropriate, to learn lessons to maintain the quality of the service.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection:

At the last inspection on 13 October 2016, (report published on 5 October 2016), the service was rated 'Good'.

Why we inspected:

This was a planned inspection based on their previous inspection rating.

Follow up:

We will continue to monitor intelligence we receive about the service until we return to visit as per our reinspection programme. If any concerning information is received, we may inspect sooner.