Durlston House

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

The provider had taken action to address all the shortfalls identified at the last inspection. The service now had effective systems to ensure people were supported by staff who were competent, skilled and experienced. Staff had received effective training to help them support people. There were now sufficient staff to meet people’s needs and the support hours commissioned by the local authority. Staffing levels enabled people to access their community. The service now had effective systems to manage risks people experienced.

People were supported to take their medicines safely. Incidents were clearly recorded and reviewed by managers to ensure any learning from incidents was implemented. The provider had successfully worked to reduce restrictions on people and improve their quality of life.

People had support plans which reflected their individual needs. The provider worked with health and social care professionals to ensure people had access to the care they needed. Staff said they could raise any concerns with the management team and were confident action would be taken as a result.

Managers kept clear records of decision-making processes where people did not have capacity to consent to their care and treatment. Information was provided for people in formats which were more accessible for them, and staff were skilled in people’s communication methods. Members of the management team demonstrated they had the skills, knowledge and experience to lead effectively. Governance systems were now effective in identifying shortfalls in the service and ensuring improvements were made.