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Dales House, Hull.

Dales House in Hull is a Residential home specialising in the provision of services relating to accommodation for persons who require nursing or personal care, caring for adults over 65 yrs, caring for adults under 65 yrs, dementia, learning disabilities, mental health conditions, physical disabilities and sensory impairments. The last inspection date here was 21st February 2020

Dales House is managed by Westwood Care Group Limited who are also responsible for 1 other location

Contact Details:

Ratings:

For a guide to the ratings, click here.

Safe: Good
Effective: Good
Caring: Good
Responsive: Outstanding
Well-Led: Good
Overall: Good

Further Details:

Important Dates:

    Last Inspection 2020-02-21
    Last Published 2017-06-08

Local Authority:

    Kingston upon Hull, City of

Link to this page:

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Inspection Reports:

Click the title bar on any of the report introductions below to read the full entry. If there is a PDF icon, click it to download the full report.

5th May 2017 - During a routine inspection pdf icon

Dales House is situated in a residential area in Hull and can provide accommodation and personal care for up to seven people who have primary needs associated with learning disability. The service has seven single bedrooms, two sitting rooms and a dining room. There are sufficient bathrooms and shower rooms to meet people’s needs and all areas of the service are accessible to people with mobility difficulties. One of the seven bedrooms is available to accommodate people who require respite care.

At the last inspection on 22 and 23 April 2015, the service was rated Good. At this inspection, we found the service remained Good although, due to the strong person-centred culture apparent within the service, we judged the fundamental standards had been exceeded when we asked the question, “Is the service Responsive" and the overall rating for the responsive domain is outstanding.

Personalised care plans and flexible staffing enabled people to develop and lead very fulfilling lives. The staff team had an excellent understanding of people's complex needs. The way staff responded to people's needs, and approached them with care and compassion, had led to them having an outstanding quality of life, being able to participate in meaningful activities and being part of the ‘family’ at Dales House. The staff team were responsive to people's individual needs and had been flexible in organising a wide range of community-based activities to enable people to feel part of the wider community. All staff described working together as a team. They were dedicated to providing exceptional person-centred care and helping people to achieve their potential; in discussions, staff knew people’s needs really well. The environment was very tailored to people’s individual needs; there was colourful signage throughout the service, a homely atmosphere and a wide range of equipment to ensure people’s safety, accessibility and wellbeing.

The service was a safe place for people to live. Recruitment procedures were thorough and there were sufficient staff, used in a flexible way to support people’s needs. Staff knew how to safeguard people from the risk of abuse and harm, had received training and also had procedures to guide them. There were procedures in place to manage risk which helped to ensure people were safe whilst not being too restrictive.

People’s health and nutritional needs were met. People were supported to attend appointments and access community health care professionals for advice and treatment when required. Medicines were managed effectively and staff ensured people had their medicines as prescribed. The menus provided people with nutritious meals and alternatives were available. Staff told us the menus could change dependent of people’s choices each day.

People are supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice. Staff approach was observed as kind, caring and compassionate. They treated people with dignity and respect whilst still maintaining a friendly and professional manner. There were very positive comments from people who used the service, relatives and visiting health and social care professionals about the registered manager and staff team.

We saw from records that staff had received training appropriate for their development, supervision and appraisal. Staff told us the registered manager led by example and were supportive of them. They felt listened to, able to make suggestions and were confident in supporting people who used the service.

There was a quality monitoring system in place which consisted of audits and checks and obtaining people’s views about the service. Surveys were carried out and results of quality monitoring were displayed in an easy to read format so people could see what action had been taken to address their suggestions and comments.

Further information is in the deta

1st January 1970 - During a routine inspection pdf icon

We undertook this unannounced inspection on the 22 and 23 April 2015. This was the first inspection since the service was registered with the Care Quality Commission on 10 October 2014.

Dales House is situated in a residential area in Hull and can provide accommodation and personal care for up to seven people who have primary needs associated with learning disability. The service has seven single bedrooms, two sitting rooms and a dining room. There are sufficient bathrooms and shower rooms to meet people’s needs and all areas of the service are accessible to people with mobility difficulties. One of the seven bedrooms is available to accommodate people who require respite care. The service is new, within its first six months of registration, and at the time of the inspection there was one person who lived at the service. Another person was in the process of moving to alternative accommodation as the service was unable to meet their needs. Some people used the respite service at intervals and one person received a day care service.

The service has a registered manager. 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 were generally recruited in a safe way but there had been one occasion when full checks had not been received prior to the start of employment. We found there was sufficient staff employed to support the people who used the service and they received induction, training, supervision and support.

People received their medicines as prescribed but we found improvements were needed in some aspects of recording of medicines. We saw one person had not required any medicine to calm their anxiety, which had been an improvement for them.

The heating and hot water system in place helped to minimise the risk of Legionnaires disease but there was no routine to flush through unused hot water outlets and shower heads. This was needed in the bedrooms and any other areas currently unused to help prevent the spread of legionella infection. We found all areas of the service were clean and tidy.

We found people lived in an environment that was safe. There were policies and procedures to guide staff in how to keep people safe and risk assessments were completed. These included guidance for staff in how to minimise risk whilst still ensuring the people could make decisions. Staff knew what to do to keep people safe from the risk of harm and abuse.

We found people’s health and nutritional needs were met. They had access to a range of health professionals for treatment, advice and support. The food prepared looked well-presented and people were provided with choices and alternatives.

We found staff followed the principles of the Mental Capacity Act 2005 and when people were assessed as not having capacity, meetings were held to discuss options for their care in their best interest. We also found the registered manager had made appropriate applications to the local authority when they felt people had been deprived of their liberty.

The building had been adapted to meet people’s needs and there was equipment to help them access all areas.

We observed staff interacted positively with people they supported. They spoke with people in a kind and caring way and respected their privacy and dignity. Health and social care professionals described staff as professional and skilled.

People’s needs were assessed and care plans were person-centred. Staff confirmed they had time to read care plans and it was clear via discussions with them that they knew people’s needs well.

We found information was provided to people in a format that met their needs. The surveys which formed part of the quality monitoring system need to be further developed to make them more accessible to people who used the service.

There was a quality monitoring system but this was still in the early stages due to the new status of the service. Although auditing documentation was available this had yet to be used to test out specific areas of the service.

The registered provider had developed an open and inclusive culture where staff and people who used the service felt able to raise concerns and make suggestions.

 

 

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