Derriford House is a privately run care home registered to provide accommodation for up to 34 older people. At the time of our inspection there were 34 people living in the home, although one was in hospital. The inspection was unannounced and was carried out on 11 and 12 January 2017.
There was a registered manager in place at the home. A registered manager is a person who has registered with the Care Quality Commission to manage the home. 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 home is run.
People and their families told us they felt the home was safe. However, although medicines were generally managed safely, staff administering medicines did not always follow best practice guidance. We have recommended that the owners seek advice and guidance on adopting the latest best practice guidance in respect of managing medicines.
Staff knew the people they supported and were able to explain the risks relating to them and the action they would take to help reduce the risks from occurring. However, the supporting documentation was not always detailed and personalised to reflect staff’s understanding. We raised our concerns with the registered manager and by the second day of our inspection they had taken action to ensure people’s risk assessments were personalised and reflected people’s needs.
Staff and the registered manager had received safeguarding training and were able to demonstrate an understanding of the owners safeguarding policy and explained the action they would take if they identified any concerns.
Staff sought people’s consent before providing care and understood the need to follow legislation designed to protect people’s rights. Healthcare professionals, such as chiropodists, opticians, GPs and dentists were involved in people’s care when necessary.
People were supported by staff who had received an induction into the home and appropriate training, professional development and supervision to enable them to meet people’s individual needs. There were enough staff to meet people’s needs and to enable them to engage with people in a relaxed and unhurried manner.
Staff developed caring and positive relationships with people and were sensitive to their individual choices and treated them with dignity and respect. People were encouraged to remain as independent as possible and maintain relationships that were important to them.
People were supported to have enough to eat and drink. Mealtimes were a social event and staff supported people, when necessary in a patient and friendly manner.
People and when appropriate their families were involved in discussions about their care planning, which reflected their assessed needs.
There was an opportunity for people and their families to become involved in developing the service. They were encouraged to provide feedback on the service provided both informally and through ‘resident meetings’ and an annual questionnaire. They were also supported to raise complaints should they wish to.
People’s families told us they felt the home was well-led and were positive about the registered manager who understood the responsibilities of their role. The owners was fully engaged in running the home and provided regular support to the registered manager. Staff were aware of the owners vision and values, how they related to their work and spoke positively about the culture and management of the home.
There were systems in place to monitor quality and safety of the home and care provided. Accidents and incidents were monitored, analysed and remedial actions identified to reduce the risk of reoccurrence.