The Daltons, Seaham.The Daltons in Seaham is a Residential home specialising in the provision of services relating to accommodation for persons who require nursing or personal care, caring for adults under 65 yrs, caring for children (0 - 18yrs), learning disabilities and mental health conditions. The last inspection date here was 9th October 2018 Contact Details:
Ratings:For a guide to the ratings, click here. Further Details:Important Dates:
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Link to this page: 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.
23rd August 2018 - During a routine inspection
This inspection took place on 23 August 2018 and was announced. The Daltons was last inspected by the Care Quality Commission (CQC) on 4 and 8 February 2016 and was rated Good. At this inspection we found the evidence continued to support the rating of 'Good' and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risk or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection. The Daltons is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The Daltons accommodates up to 6 people up to the age of 26 who have additional learning needs and/or mental health issues. The home provides people with opportunities to develop independence skills and coping strategies. On the day of our inspection there were six people using the service. People who used the service and their relatives were complimentary about the standard of care at The Daltons. The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen. The registered manager understood their responsibilities about safeguarding and staff had been trained in safeguarding vulnerable adults. The home was clean, spacious and suitable for the people who used the service. The provider had effective procedures in place for managing the maintenance of the premises and appropriate health and safety checks were carried out. Accidents and incidents were appropriately recorded and risk assessments were in place where required. Appropriate arrangements were in place for the safe management and administration of medicines. The provider had an effective recruitment and selection procedure in place and carried out relevant checks when they employed staff. There were sufficient numbers of staff on duty to meet the needs of people who used the service. Staff were supported to provide care to people who used the service through a range of mandatory training, supervision and appraisal. Staff said they felt supported by the registered manager. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. People were protected from the risk of poor nutrition and staff were aware of people’s nutritional needs. People had access to healthcare services and received ongoing healthcare support. The service complied with Article 12 of the UN Convention on Children’s Rights which states every child has the right to express their views, feeling and wishes in all matters affecting them, and to have their views considered and taken seriously. The service had arrangements in place to give people a voice in matters which affected them. Staff treated people with dignity and respect and helped to maintain people’s independence. People were offered choices by staff to participate in activities which supported their growth and learning as well as increased their confidence. The service commissioned a psychologist who visited the service weekly to provide support to people and staff. This meant there was a psychological perspective in the service which promoted people’s growth and potential. Care records showed people’s needs were assessed before they started using the service and care plans were written in a person-centred way and reviewed regularly. Person-centred is about ensuring the person is at the centre of any care or support and their individual wishes, needs and choices are taken into account.
The provider had an effective
4th February 2016 - During a routine inspection
This inspection took place on 4 and 8 February 2015 and was unannounced. At the last inspection in August 2014 we found the registered provider was compliant with the regulatory requirements. The Daltons provides accommodation for six people up to the age of 26 who have additional learning needs and/ or mental health issues. It is located in a village with good local transport links into Seaham, the nearest town. The staff see the home as transitional accommodation which provides people with opportunities to develop independence skills and coping strategies. 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 able to describe to us what actions they took to safeguard the people in the service. This included using information available to them to support people make decisions about their relationships. The service had risk assessments in place for the building and the environment. These were updated on a regular basis. The people who used the service also had risk assessments in place and guidance was provided to staff to ensure the risks to people were minimised. We found the service complied with the Article 12 of the UN Convention on Children’s Rights which states every child has the right to express their views, feelings and wishes in all matters affecting them, and to have their views considered and taken seriously. We found the service had arrangements in place to give people a voice in matters which affected them. The Mental Capacity Act 2005 (MCA) provides a legal framework for making particular decisions on behalf of people who may lack the mental capacity to do so for themselves. We found the service not only complied with the framework but also supported the people to increase their understanding and capacity to make decisions. With the agreement of the registered provider the registered manager had put in place a range of training in a training plan in which could be delivered at times when the running of the service would not be disrupted. We also observed a member of staff being coached by a visiting psychologist about how to work with a person on a particular subject. We found there was a range of communications systems in place to support a flow of information and keep staff informed about the actions and needs of people using the service. Staff promoted the independence of people by working with them on practical skills. Staff also recognised that independence required confidence and resilience in people which they promoted. The registered provider had used an electronic system to identify people’s patterns of behaviour and had identified times in the week where a person was most at need. Actions had been put in place to ensure the needs could be met. We found powerful examples of how the service had impacted on the lives of people using the service. Details of the examples we found cannot be disclosed in this report as it may lead to the people being identified. We found choice was a key issue in the service. We found young people were offered choices by staff to participate in activities which supported their growth and learning as well as increasing their confidence. Staff were aware of the importance of the environment to ensure people had stability at The Dalton’s before they could engage in a therapeutic process. Care planning was regularly reviewed and the care plans gave a context about the people’s needs as well as providing a rationale about how people should be treated. The service commissioned a psychologist who visited the service weekly to provide support to people and staff alike. This meant there was a psychological perspective in the service which promoted people’s growth and potential.
7th November 2012 - During a routine inspection
When we visited The Daltons we saw five young people lived at the home. Their ages ranged from 18-23 years of age. Three young people were at college during the period of our inspection visit. We spoke with one person who lived at the home. She said, “It’s a nice place. This home’s much better than others I’ve been in. The staff are amazing here.” We found people were encouraged to lead independent lives and their rights to privacy and dignity were respected at The Daltons. We saw the premises were well maintained and had a welcoming, homely feel.
28th July 2011 - During an inspection in response to concerns
On the day of this visit there were five people living at The Daltons, but one person was in hospital for long-term treatment. People told us about the activities they were involved with or planning for the future. These included going to college, shopping in the local community, swimming and horse riding. They told us that they were supported to develop independent living skills. People said that they felt involved and included in planning their own care in order to achieve their goals. One person said, “They include me in reviews with my social worker and always include me in discussions about my future.” Another person said, “Staff support me with what I need, but I can do most things myself. I go out to shops on my own and they respect that.” One person said, “I have no worries about being here. It’s a really nice home and staff have been really friendly. If I was worried about anything there are some staff I would talk to.” People said that they liked the house and said they liked their own bedrooms. One person said, “It’s a really nice house and a nice area. I think it’s a good place to live.” The people we spoke with had positive comments to make about individual staff members and the staff team. One person said, “I get on really well with the staff.” People described the staff as “friendly” and “helpful”.
21st February 2011 - During a routine inspection
The location sent out questionnaires to the parents and social workers of the young people who lived at the home every six months. The young people also completed a simple survey. We looked at a sample of these completed questionnaires and surveys. We found a very positive response to the care offered by the location.
1st January 1970 - During a routine inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, and to provide a rating for the service under the Care Act 2014.
We inspected The Daltons Home on 29 July 2014 and the 8 August 2014. The inspection was unannounced. Our last inspection took place on 7 and 10 January 2014 and we found the service was meeting all essential standards.
The Daltons is registered to provide accommodation and personal care for up to 6 young adults with learning disabilities. The service also accommodated a young person aged 17 during our inspection.
The home had a registered manager at the time of our inspection. 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.
On the day of our visit people were engaged in meaningful activities which were educational and added to people’s development. Staff supporting people had a good understanding of people’s emotional, psychological and overall care needs. We saw staff using pictorial cards and visual timetables to support people with autism who did not verbally communicate. Where people were able to express there needs staff were engaging with people in a caring and respectful manner.
We looked at how people were kept safe and found the service employed sufficient staff with appropriate skills and competencies. Where people had difficulties in ensuring there own safety the service had implemented a range care plans and risk assessments as well as psychological treatments and therapies to ensure people remained safe. The service also used care and treatment plans to teach people how to remain safe.
Where people required additional support the service had access to a range of professionals such as psychologists and psychiatrists. People were also supported by staff who were knowledgeable about people’s care needs and received in-depth training and supervision to ensure the had the correct skills to support people safely and effectively. We spoke with one health care professional who told us, “The service is about empowering young people to have ambitions and teaching them how to be independent”.
People were well cared for and liked living at the Daltons with the exception of one person who expressed they were ready to live more independently. The service did have a plan in place to support the person to move on.
The management arrangements in the service were good. Young people and staff spoke highly of the registered manager and the organisation. One person told us “they are all brilliant, I have been here for years and I learn how to do things so I can live on my own.”
We found the service was changing its model of care to a multidisciplinary team approach and although this was new staff were committed to the vision and values of the service.
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