- Care home
De Bruce Court
Report from 31 March 2024 assessment
Contents
Ratings
Our view of the service
Date of assessment – 9 May 2024 – 29 May 2024. De Bruce Court is a care home registered to provider nursing and personal care for 46 people and at the time of the assessment, 33 people were living at the service. The service specialises in providing care to young adults and older people with mental health and physical needs as well as those with learning disabilities or those living with dementia. This was a responsive assessment due to receiving concerns in relation to the care being provided, including some environmental concerns. We looked at all 33 quality statements. At our last inspection published on 23 December 2022, the service was requires improvement overall, with breaches in 5 areas, dignity and respect, the need for consent, safe care and treatment, staffing and governance. We also issued a warning notice for governance. The service had improved and was no longer in breach of regulations and had addressed the warning notice. We found no evidence in relation to poor care being provided or concerns with the environment. There was enough staff on duty, including to cover all 1-1 care hours. Medicines were managed well, and some minor updates were to be addressed immediately to further enhance processes. The service was comfortable, clean and tidy and followed infection control procedures. The provider was in the process of moving PPE to more accessible areas near to the kitchen. Activities were taking place and the manager and staff had ideas going forward to further enhance this area of the service. People’s dietary needs were met, and kitchen staff strove to provide a social and interactive experience with themed mealtimes. We found a small number of records which needed to be updated, but the provider assured us this was to be immediately addressed. Staff worked well with other healthcare professionals.
People's experience of this service
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 service was able to demonstrate how they were meeting the underpinning principles of right support, right care, right culture. People told us they received the right support. The provider maximised choice and independence and acted in line with the Mental Capacity Act 2005. Staff followed infection control practices. People were supported to reach goals and improve life skills. People were supported to reduce periods of distress. People were relaxed with staff and assured by their presence. Transition between services was robust. An advocate told us, “Transition is very successful, appropriate accommodation and support, they thrived. Its well-researched and carefully planned, very robust.” People told us they received the right care. People received person-centred care. People took part in activities and the manager confirmed this was further being enhanced and new staff had been employed, including a therapeutic assistant. One family member said, “His physical health has improved. He goes to a hydro pool (within the service). It helps him relax.” Healthcare professionals told us the service had improved and was providing the right care to people. People said there were enough staff, and they were kind and caring. People said the culture at the service was good. People were encouraged to lead as independent a life as possible. People were supported in line with their cultural and religious needs. People told us they were involved with meal planning and recruitment.