# Draycombe House

*Operated by Ferncross Care LTD.*

Draycombe House is a CQC-regulated home-care agency in Morecambe.

## CQC Ratings

| Key question | Rating |
| --- | --- |
| Overall | Requires improvement |
| Safe | Requires improvement |
| Effective | Requires improvement |
| Caring | Good |
| Responsive | Good |
| Well-led | Requires improvement |

Rating published: 22/09/2023

## Practical info

- Postcode: LA3 1LN
- Registered manager: Adamson, David
- Local authority: Lancashire
- Region: North West
- City: Morecambe
- Last CQC check: 22/Sep/2023 - 00:00

## Inspection findings

### Other

- Finding
  - Evidence: Provider carried out appropriate DBS and recruitment checks on new staff.
  - Published: 2023-09-22
- Finding
  - Evidence: Staff knew people's individual communication needs and provided information in accessible ways.
  - Published: 2023-09-22
- Finding
  - Evidence: Registered manager was visible, acted on inspection feedback, and improved community activity access for people.
  - Published: 2023-09-22
- Finding
  - Evidence: Positive, homely culture with staff putting people's needs and wishes at the heart of everything they did.
  - Published: 2023-09-22
- Finding
  - Evidence: Safeguarding processes were effective; staff understood how to identify and report concerns and worked well with other agencies.
  - Published: 2023-09-22
- Finding
  - Evidence: Medicines were administered, recorded and stored safely and staff were trained in medicines management.
  - Published: 2023-09-22
- Finding
  - Evidence: Responsive improvements made: people now supported to access community activities, addressing the previous breach of regulation 10.
  - Published: 2023-09-22
- Finding
  - Evidence: Staff knew people well and provided person-centred, compassionate care treating people with respect and dignity.
  - Published: 2023-09-22
- Finding
  - Evidence: People told us they felt safe and were happy in the home.
  - Published: 2023-09-22
- **leadership** _(moderate)_
  - Evidence: The registered manager also lacked knowledge around some areas of their responsibilities in relation to assessing the safety of the service.
  - Published: 2023-09-22
- **staff_training** _(moderate)_
  - Evidence: Some staff had not completed training around how to ensure people were safe. The registered manager was aware of the issues with staff training.
  - Published: 2023-09-22
- **care_planning** _(critical)_
  - Evidence: Some risks had not been assessed and some risk assessments were not robust. Some checks on the safety of equipment had not been carried out.
  - Published: 2023-09-22
- **governance** _(critical)_
  - Evidence: Systems had not been established to assess, monitor and mitigate risks to the health and safety of people using the service. This placed people at risk of harm.
  - Published: 2023-09-22

### responsive

- Finding
  - End of life care and support
  - Published: 2023-09-22
- Finding
  - Improving care quality in response to complaints or concerns
  - Published: 2023-09-22
- Finding
  - Meeting people's communication needs
  - Published: 2023-09-22
- Finding
  - Supporting people to develop and maintain relationships; support to follow interests and activities; Planning personalised care
  - Published: 2023-09-22
- Finding
  - End of life care and support
  - Published: 2022-08-06

### safe

- Finding
  - Using medicines safely
  - Published: 2023-09-22
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2023-09-22
- Finding
  - Staffing and recruitment
  - Published: 2023-09-22
- Finding
  - Assessing risk, safety monitoring and management; Preventing and controlling infection; Learning lessons when things go wrong
  - Published: 2023-09-22

### well_led

- Finding
  - Working in partnership with others
  - Published: 2023-09-22
- Finding
  - How the provider understands and acts on the duty of candour
  - Published: 2023-09-22
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2023-09-22
- Finding
  - Managers and staff being clear about their roles, understanding quality performance, risks and regulatory requirements; Continuous learning and improving care
  - Published: 2023-09-22
- Finding
  - Working in partnership with others
  - Published: 2022-08-06
- Finding
  - Duty of candour
  - Published: 2022-08-06
- Finding
  - Managers and staff being clear about their roles; continuous learning and improving care
  - Published: 2022-08-06
- Finding
  - Promoting a positive culture; engaging and involving people, public and staff
  - Published: 2022-08-06

## Source

Data published by the [Care Quality Commission](https://www.cqc.org.uk/) under the Open Government Licence v3.0. Canonical page: https://homecarecompass.co.uk/agency/1-9629783232

HomeCare Compass is an independent guide and is not affiliated with the CQC.