Turning Point – Kent DCA received a Good rating across all five key questions at its August 2019 inspection, demonstrating consistent person-centred care for 27 adults with learning and physical disabilities in supported living. Minor documentation gaps around restrictive practices and an inaccurate epilepsy care plan were identified and remedied during the inspection, with no breaches of regulation found.
Concerns (2)
moderate
Record keeping
: “We found a document in one person's care file which contained inaccurate information about how staff should respond to their epilepsy.”
moderateConsent / capacity: “Some people had restrictive equipment in place to help them remain safe such as lap belts. This was not specified on the documentation although had been discussed and agreed.”
Strengths
· People were supported by a consistent core staff team with right skills, knowledge and competencies, using regular agency staff for continuity.
· Comprehensive person-centred care plans including 'bucket lists' with aspirational goals and detailed communication strategies.
· Strong safeguarding culture with staff trained to recognise and report abuse and registered manager making referrals as required.
· Medicines managed safely with medicines champion introduced, spot checks, monthly audits and competency assessments.
· Positive risk-taking actively encouraged, supporting people to engage in activities such as zip wires and indoor skydiving.
Turning Point – Kent DCA was rated Good across all five key questions at its December 2016 inspection, demonstrating a strong person-centred culture, safe practices and responsive care for 25 adults with learning and physical disabilities. Minor areas for improvement included insufficient staffing cover requiring agency staff, and the absence of stakeholder feedback from professionals such as GPs in quality assurance processes.
Concerns (3)
moderateStaffing levels: “There were currently not enough staff employed to cover all of the support hours being provided.”
minorGovernance: “there were no recorded follow up or date for when the action plan should be completed.”
minorGovernance: “The provider had not asked stakeholders for example GP's and care managers for their feedback, this was an area for improvement.”
Strengths
· Strong person-centred culture with staff building deep, consistent relationships with people supported
· People supported to achieve aspirational goals including international holidays and community activities
· Safe medicines management with staff trained, observed and signed off as competent before administering
· Robust safeguarding awareness with staff able to describe escalation procedures and referrals made appropriately
· Comprehensive care plans including communication passports, risk assessments and health action plans