Dukeminster Court

There was an increased risk of people's oral health needs not being met. Incident reports had not always been completed by staff. People's care plans did not always contain current information on managing risks. Environmental risks were not always identified and managed in line with guidance. People did not always receive their medicines safely. However, infection control measures were robustly followed, and staff had access to sufficient PPE. People told us they felt safe and there were enough staff. Relatives told us they felt free to visit without restrictions.

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

Systems and processes were not always operated effectively to ensure safety and quality risks were well managed. There was evidence that people's preferences around who supported them were not always met. The provider was working through action plans to improve quality concerns they had identified and took action in response to the concerns we found during this inspection. People and their relatives informed us there was a positive culture in the service, and our observations of how staff interacted with people confirmed this.

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