Dibden View

Updated 21 November 2017

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, looked at the overall quality of the service, and provided a rating for the service under the Care Act 2014.

The inspection took place on 10 October 2017 and was unannounced. The inspection was carried out by one inspector.

Before the inspection we reviewed the information we held about the home, we reviewed previous inspection reports and action plans from the provider. We looked at notifications we had received from the provider. Notifications are changes, events or incidents the provider is legally required to let us know about.

The provider completed a provider information return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We used this information to help plan our inspection.

During the inspection we spoke with three people living at the home who agreed to speak with us. We observed the care people received and the interaction between staff and people using the service.

We spoke with the registered manager, deputy manager and three support staff. We looked at the care records and other associated documents for two people. We also looked at a range of records relating to the management of the service such as accidents/incidents, staff recruitment and training, complaints, quality audits and policies and procedures. We requested some records to be sent to us. We received this information.

Updated 21 November 2017

Dibden View is a purpose built home which provides support for nine people, with mental health issues. Dibden View is in Gosport with access to the local community. On the day of our inspection there were seven people living at the home.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Staff knew how to keep people safe and had a good understanding of how to report safeguarding concerns. People’s finances were managed safely.

Staff had a good understanding of people's needs and spoke in a caring way about the people they supported. People told us they felt safe at the home. Risks were assessed to minimise them and staff were aware of people's individual risks.

People received their medicines safely and they had their nutritional and health needs met. Emergency systems had been put in place to keep people, visitors and staff safe.

People were supported by adequate numbers of staff. The provider had effective recruitment and selection procedures in place and carried out checks when they employed staff to help ensure people were safe. Staff were well trained and aspects of training were used regularly when planning care and supporting people with their needs and lifestyle choices.

People's consent was sought before staff gave support and people’s choices were respected.

The registered manager and staff demonstrated a good understanding of the Mental Capacity Act 2005. People were supported where possible to make everyday choices such as what they wanted to wear, eat and how to spend their time. The manager was aware of the correct procedures to follow when people did not have the capacity to make decisions for themselves and if safeguards were required, which could restrict them of their freedom and liberty.

Care records contained detailed information about how individuals wished to be supported. People's risks were well managed, monitored and regularly reviewed to help keep people safe.

The service was very responsive to people’s needs. People received person centred care and support. They were offered a range of individual activities both at the service and in the local community, based upon their hobbies and interests.

People were supported to maintain good health through regular access to health and social care professionals, such as GPs and speech and language therapists. People's dietary needs and any risks were understood and met by the staff team. Health and social care professionals gave positive feedback about the personalised approach of staff towards people and how well people were cared for. Comments included, “They resolve issues in the least restrictive way.”

People benefitted from a service that was very well led. The registered manager and senior staff were well respected and demonstrated good leadership and management. They had an open, honest and transparent management style. Staff described the management as supportive and approachable. Staff were well supported through induction and ongoing training.

There were systems in place to monitor the quality and safety of the service provided and to manage the maintenance of the buildings and equipment