About the service Ducks halt is a care home providing support for up to five people. The service provides care and support to people with mental health or learning disability and complex needs. Care is provided in a large adapted house close to amenities in the local community. At the time of our inspection five people were using the service.
People’s experience of using this service and what we found
People were positive about their experiences at the service and told us they were happy living there. One person said, “I am happy living here, the staff make me happy.”
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, 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 providing support to people with a learning disability and/or autistic people.
The service was able to demonstrate how they were meeting underpinning principles of Right support, right care, right culture. Staff promoted people’s independence and care was personalised to each individual person’s needs. Staff supported people to develop confidence to live full lives.
We received information of concern that the provider may not have shared information or taken action across the organisation following a specific incident at another location.
We found systems had been put in place to share learning with staff through briefings, guidance, supervisions and meetings. We saw additional support and training had been provided to staff on closed cultures and there was an independent ‘Freedom to speak up’ guardian. Staff had received further training and information on restricted practices and closed cultures.
There were systems in place to provide a good oversight of the service with additional audits and monitoring by the management team.
The senior management team were more visible and held regular briefings with staff. Registered managers were supported with the providers initiative ‘project best’, where through regular coaching meetings registered managers were supported to drive improvements and improve outcomes for people.
Rating at last inspection: The last rating was good (report published 9 June 2018).
Why we inspected: We undertook this targeted inspection to follow up on specific concerns we had about the provider. The inspection was prompted in response to concerns received on safeguarding and culture. A decision was made for us to inspect and examine those risks.
CQC have introduced targeted inspections to follow up on a Warning Notice or other specific concerns. They do not look at an entire key question, only the part of the key question we are specifically concerned about. Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of a key question.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection program. If we receive any concerning information we may inspect sooner.