Durbia Healthcare Ltd

Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided.

At the time of the inspection, the location did not care or support for anyone with a learning disability or an autistic person. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group.

Right Support Since our last inspection the registered manager had made significant improvements to ensure medicine management and administration were done safely and in line with people's wishes.

The provider worked with other professionals to ensure staff had received training in line with people's medical conditions such as oxygen therapy and catheter care and their competencies were regularly checked to ensure people were safe.

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.

Right Care The registered manager had reviewed and updated all care plans and these provided staff with clear guidance on how to provide safe personalised care and how to support people in an emergency situation such as choking.

Staff told us they were supported and had time to spend with people to build trusting relationships and fully understand their needs.

Right Culture Staff were recruited safely. The registered manager had reviewed all recruitment practices to ensure staff were recruited and inducted into the service safely before working with people.

The provider had introduced a governance system to monitor the quality of the service people received. Although more time was needed to assess the effectiveness these processes, the registered manager was knowledgeable about using the systems and was upskilling other staff to use them.