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Duxbury House Residential Care Home, 38 Sherbourne Road, Blackpool.

Duxbury House Residential Care Home in 38 Sherbourne Road, Blackpool is a Residential home specialising in the provision of services relating to accommodation for persons who require nursing or personal care, learning disabilities and mental health conditions. The last inspection date here was 7th December 2017

Duxbury House Residential Care Home is managed by Mr Vincent Fitzgerald and Miss Tiffany Webster.

Contact Details:

    Address:
      Duxbury House Residential Care Home
      Duxbury House
      38 Sherbourne Road
      Blackpool
      FY1 2PW
      United Kingdom
    Telephone:
      01253440242

Ratings:

For a guide to the ratings, click here.

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

Further Details:

Important Dates:

    Last Inspection 2017-12-07
    Last Published 2017-12-07

Local Authority:

    Blackpool

Link to this page:

    HTML   BBCode

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.

11th October 2017 - During a routine inspection pdf icon

Duxbury House provides care and support for a maximum of 6 people who live with learning disabilities and mental health conditions. At the time of our inspection there were 6 people living at the home. Duxbury House is situated in a residential area of Blackpool close to the promenade. A lounge, dining room and paved external areas are available so people can choose where to relax.

At the last inspection on 27 August 2015, the service was rated ‘Good’. At this inspection, we found the service remained ‘Good’.

During this inspection, people we spoke with said they felt safe at the home. One person commented, “It’s a good place, I feel very safe here.” Care records we saw included risk assessments to guide staff to minimise potential risks to people who lived at Duxbury. Staff we talked with demonstrated a good understanding of safeguarding people from unsafe or poor care.

We found medicines were stored securely and administered with a safe approach. The provider undertook regular audits to assess the safety of medicines management. They ensured staff had relevant training to underpin their skills and understanding.

The provider had systems to ensure people were protected against the employment of unsuitable staff. People and staff we spoke with told us staffing levels were sufficient. A staff member stated, “There’s enough staff. I go out with people on a daily basis because there’s two staff to make this possible.” We saw staff training was reinforced by supervision for staff to review their development.

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

Staff worked with individuals to meet their nutritional requirements with a healthy living approach. For example, guidance in care files included support about the risks of obesity as well as malnutrition. One person told us, “The meals are great. It’s all about healthy living.”

We observed staff engaged with people in a friendly, caring, patient and knowledgeable approach. People said staff were compassionate, supportive and kind. One person who lived at Duxbury told us, “Even my [relative] says it’s the best place I’ve been in. She goes home happy and relaxed.”

People we spoke with commented the registered manager and staff worked with them in developing their support plans. We saw records were detailed, personalised and contained information about each person’s backgrounds, life histories and preferences.

The registered manager regularly completed a range of audits to assess quality assurance and the safety and wellbeing of everyone at Duxbury. They held regular ‘resident’ meetings to give people the opportunity to raise any issues and involve them in the home’s development. Staff told us the provider had a hands on approach and worked with them as part of the team. One employee said, “We have regular team meetings and discuss any ideas to help our residents.”

27th August 2015 - During a routine inspection pdf icon

The inspection visit at Duxbury House was undertaken on 27 August 2015 and was unannounced.

Duxbury House provides care and support for a maximum of 6 people who live with learning disabilities and mental health conditions. At the time of our inspection there were 6 people living at the home. Duxbury House is situated in a residential area of Blackpool close to the promenade. A lounge, dining room and paved external areas are available so people can choose where to relax.

A registered manager was in place. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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.

At the last inspection on 06 May 2014, we found the provider was meeting all the requirements of the regulations inspected.

During this inspection, we found the registered manager had systems in place to protect people from potential harm or abuse. Staff had a good understanding of how to report safeguarding concerns. People told us they felt safe and comfortable whilst living at Duxbury House. Risk assessments were in place to protect people from the potential risks of receiving care and support.

People’s medicines were safely managed and stored. Staff had received appropriate training to underpin their knowledge. Medication recordkeeping was in line with national guidelines and the registered manager had carried out checks to ensure processes were completed safely.

We found staffing levels were sufficient in meeting people’s needs in a timely manner. Staff told us their training supported them to work effectively and the registered manager had assisted them in their development. Personnel had been safely recruited to ensure people would be supported by staff who were suitable. A staff member confirmed, “I started after my DBS [Disclosure and Barring Service] and references were received.”

People were approached with a supportive and compassionate manner and staff had a good understanding of protecting people’s dignity and privacy. We observed staff were friendly, respectful and caring towards individuals. One person told us, “We can have a laugh and the staff sit and chat all day with us.”

Mealtimes were flexible with people eating at times that suited their lifestyle. Staff provided a variety of meals and choices of foods for the well-being of individuals who lived at the home. People were protected against the risks of malnutrition or where individuals were overweight.

Staff demonstrated a good understanding and practice of the Mental Capacity Act (MCA) and associated Deprivation of Liberty Safeguards (DoLS). Care records contained evidence of people’s consent to care and the philosophy of the service was aimed at promoting people’s independence.

Care records were in-depth and personalised to each individual’s requirements. Care planning was regularly reviewed and updated to respond to people’s changing needs. Service users and their representatives told us they were fully involved in their care. Support plans evidenced people’s preferences and there was a programme of activities in place tailored to each individual’s needs.

The registered manager led the home in a transparent way and involved staff and people in the running of the home. Staff and service users told us the registered manager was visible and very accessible. A staff member told us, “[The registered manager] is the world’s most approachable person.” People’s comments and concerns were acted upon and there were a number of audits in place to check and maintain their health, safety and well-being.

6th May 2014 - During a routine inspection pdf icon

During this inspection we looked at how well people were cared for, how the service worked in cooperation with other agencies to ensure appropriate planning took place. How peoples dietary need were being met and managed. How the home recruited staff to ensure they were safe and competent to meet the needs of people living at Duxbury House. What quality monitoring systems were in place. We also looked at what systems were in place to enable people to raise comments and concerns about their care and treatment and whether this was effective in keeping people safe.

Information we gathered during the inspection helped answer our five questions; Is the service caring? Is the service responsive? Is the service safe? Is the service effective? Is the service well led?

Below is a summary of what we found. The summary is based on our observations during the inspection, speaking with people using the service, staff supporting them, and from looking at records. We also had responses from external agencies including social services .This helped us to gain a balanced overview of what people experienced living at Duxbury House.

If you wish to see the evidence supporting our summary please read the full report.

Is the service safe?

People were treated with respect and dignity by the staff. People told us they felt safe living there. Comments included, “Since I have been here I have come on leaps and bounds. All the staff are very supportive”. Also, “I go out nearly every day with my keyworker. I couldn’t do without her”.

Systems were in place to make sure staff learn from events such as accidents and incidents, complaints, concerns and whistleblowing investigations. This reduced the risks to people and helped the service to continually improve. The provider/manager told us they took all incidents seriously and gave examples of where they had used experiences of incidents to adapt change. For example, working with other professionals to enable a more appropriate placement for people whose needs had changed.

The home had policies and procedures in relation to the Mental Capacity Act and Deprivation of Liberty Safeguards, although no applications had needed to be submitted. All staff were enrolled to undertake the relevant training in mental capacity in the near future. This would enable them to understand when an application should be made and how to submit one. This meant people would be safeguarded as required.

Maintenance service certificates were in place and up to date to ensure systems in the home were safe.

Is the service effective?

People’s mental health and care needs were assessed with them, and they were involved in developing their plans of care where possible. One person we spoke with told us, “My keyworker always talks things through with me, so does the manager”.

Systems were in place to monitor peoples dietary needs. This had been identified in support plans so staff could deliver an effective nutritional plan to meet individual needs. Examples of this included two people who had reduced their weight based upon healthy eating and exercise plans. One person told us, “I never thought I could manage to lose weight like this but it’s been so easy with the help I have been given”.

People we spoke with told us the service was flexible to meet their individual needs. “I like the fact I can do the things I want but with the support of the manager and staff. It’s made my life easier”.

In order to deliver effective care the provider/manager and staff demonstrated an understanding of the needs of people living at the home. Staff we spoke with told us they worked well as a team to ensure peoples needs were being met. One said, “It a small home and we all communicate well so information is being passed down all the time”.

Is the service caring?

People were seen to be supported by attentive and respectful staff. We saw that care workers showed patience and gave encouragement when supporting people. Most people who lived at Duxbury House were independent and were supported to go out with staff. Some of the comments from people we spoke with included, “I don’t know what I would do without F…., she is always on hand for me”. Also, “Great bunch of staff, always around when you need them”.

We spent time speaking with people about the level of care they provided. Staff we spoke with told us it was a role they were proud to work in. “I love working here, it’s just a very caring environment and people are appreciative of the care they receive”. People were seen to be supported by kind and attentive staff. We saw staff showed patience and gave encouragement when supporting people.

People’s preferences, interests, aspirations and diverse needs had been recorded and care and support had been provided in accordance with their wishes. Personal profiles had been developed by staff. Staff we spoke with told us this had helped them to understand things that were important with individual residents. For instance once a month a member of staff accompanies a resident to a venue which enables them to take part in a personal interest of theirs.

Is the Service Responsive

People had access to a range of literature relating to the complaints procedure. People we spoke with said they knew how to make a complaint if they were not satisfied with something that affected them. One person told us, “I always say if I am not happy with something. They always seem to listen to me and get it sorted out. Staff we spoke with told us a system was in place to investigate record and reach outcomes for any complaints they received. People could therefore be assured complaints would be investigated and action taken as necessary.

Is the service well led

The service worked well with other agencies and services to make sure people received their care in a joined up way. The service had a range of quality audit systems in place. We saw they were complete and up to date. They covered the environment, health and safety as well as staff and resident meetings. As a result the quality of the service was continually improving.

Staff told us they were clear about their roles and responsibilities. Staff had an understanding of the ethos of the home and quality assurance processes were in place. This helped to ensure people received a good quality service at all times.

3rd April 2013 - During a routine inspection pdf icon

We spoke with five people who lived at Duxbury House and three members of the staff team. We also contacted Blackpool Contracts Monitoring team for their views. People we spoke with told us they were involved in their care and support. They told us they felt safe living at Duxbury House and they were happy living there. We spent time in the lounge and dining areas and observed how staff supported people. We saw that people were treated with respect and dignity. We could see the staff were friendly and approachable and showed they were motivated and enthusiastic when supporting people.

3rd July 2012 - During a routine inspection pdf icon

People told us they could express their views and were involved in decision making about their care. They said they had been involved in the assessment of their care needs and attended meetings to review the care being provided for them. We were told they attend meetings within the house and were encouraged to express their views about the service provided. We spoke with people about their experiences living in the home. They said the staff team were friendly and supportive. Routines observed were flexible and people said they could come and go as they please. They told us the provider and his staff were supportive and helpful.

People told us they had no concerns about the care being provided. We were told they felt safe and protected from potential harm.

“Vince visited me on a number of occasions before I agreed to move into the home. We discussed my needs and the support they could provide for me. It was explained to me that the home provided an independent living environment and I would be supported to undertake tasks for myself. I feel really well at the moment. He supported me to attend confidence building and cookery skills classes at the local centre. I now feel ready to move on and care for myself".

"Just returned from a family holiday. They were really pleased with how well I looked".

"Going out with my support worker today. I have a weekly activities programme which I discussed with Vince and have agreed to. I like going out and get on really well with the staff who help me".

"I attend meetings within the house and am encouraged to have my say. We talk about meals and activities etc. I feel they listen to me".

"Going out with my support worker today. I will decide where we go and what to do".

 

 

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