27 September 2017
During a routine inspection
At the last inspection, the service was rated Good.
This inspection took place 27 September and 4 October 2017 and was unannounced. At this inspection we found the service remained Good.
Staff were skilled in supporting people, whose behaviour could put themselves or others at risk, to live independent meaningful full lives. Staff used personalised strategies to support people to manage their emotions. We found examples of how this approach had enhanced people’s wellbeing and resulted in positive engagements with their local community. Staff had considered people’s preferences and past histories when putting strategies in place to help them develop at a pace that was comfortable for them. It was evident that people had progressed in the management of their own emotions and behaviours.
People were supported by enough staff to allow them to safely access activities in the community to carry out activities, attend events and maintain frequent contact with their families. Relatives highly praised the caring nature of the staff team. They stated the progress of their family member’s was as a result of the commitment and approach of the staff at Denmark House.
People are supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service supported this practice.
People’s risks had been assessed and were being managed based in their individual needs. Staff were aware of the management of people’s physical and emotional risks. They had been trained to support people in the least restrictive way and ensure people were protected from abuse and harm. Staff felt trained and supported to carry out their role. They praised the management and running of the home. Effective recruitment procedures were in place and being followed to ensure people were cared for by staff who were of good character.
Safe management of people’s medicines were in place. People enjoyed a balanced diet at home and in the community. Staff helped people to monitor their health and well-being needs and referred them to health care services as needed. People’s care records provided staff with the information they needed to support people and manage their risks and needs. Health care professionals were positive about the knowledge and dedication of staff and the managers.
The registered manager and deputy manager were committed in providing effective care for people with complex needs. Systems and polices were in place to monitor the quality of the service provided. Relatives felt comfortable about raising concerns with the senior team.