Derwent Lodge

Updated 10 March 2022

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.

As part of CQC’s response to care homes with outbreaks of COVID-19, we are conducting reviews to ensure that the Infection Prevention and Control (IPC) practice is safe and that services are compliant with IPC measures. This was a targeted inspection looking at the IPC practices the provider has in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.

This inspection took place on 15 February 2022 and was unannounced.

Updated 10 March 2022

Derwent Lodge is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Derwent Lodge is registered to provide nursing and residential care and support for 16 people with mental health needs. At the time of our inspection there were 13 people using the service. The service is a detached, single storey property located within a residential area of Derby. The service provides communal rooms, which include lounges, dining room, activities room and two kitchens. The bedrooms are single occupancy with an en-suite facility. The service has a garden which can be accessed from the communal rooms.

At our last inspection we rated the service 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 risks 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.

Derwent Lodge did not have a registered manager. 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. The previous registered manager had resigned their post in May 2018.

The manager of Derwent Lodge had been in post for six weeks at the time of the inspection. The manager had completed their application form for the post of registered manager and had submitted an application to the Disclosure and Barring Service (DBS). The manager advised us that upon receipt of their DBS check they would submit their registered manager application to the Care Quality Commission (CQC) for consideration.

People’s safety was promoted by staff that had the appropriate training to monitor and support people to be safe. Potential risks were identified and action to reduce these was taken. There were sufficient staff to keep people safe and staff were aware of their responsibilities in monitoring people’s safety and well-being. Environmental risks were reduced, through regular maintenance of the service. People received their medicine and were supported by staff with the appropriate knowledge and skills in the management of medicine.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrict way possible; the policies and systems in the service supported this practice. People were supported by staff that had the necessary training and skills to provide care and support. Staff worked collaboratively with people using the service and health and social care professionals to monitor people’s health to maintain and promote people’s well-being.

People spoke very positively about the attitude and approach of staff towards them. People told us staff were available when they needed them and we saw staff respond to people when they became upset or distressed, having time to spend with the person talking about their concerns. People were encouraged to be involved in the development and reviewing of their recovery and support plans and were involved in meetings to review their care and treatment. People said confidentiality was maintained and that they were respected by staff.

Staff encouraged people to be involved in the development and reviewing of their care, treatment and support plans. People spoke to us about their involvement and setting individual goals of achievement for them. A nurse had been leading a project to review people’s care and support plans, with a focus on them being person centred, to promote people’s involvement and to further reflect their goals and aspirations.

People’s concerns and complaints were documented and the outcome of investigations was shared with the complainant.

People using the service were positive about the day to day management of the service. People’s views and that of staff were sought. Regular meetings took place that provided opportunities for all to share information. Robust systems were in place to monitor the quality of the service being provided and any shortfalls were identified within an action plan to bring about improvement.

The provider had displayed the CQC rating from the previous inspection within the service and on their website.