About the service: Derwent Residential Care home is a care home that provides personal and nursing care for up to 34 older people. At the time of the inspection, there were 24 people living at the service. People were supported with a range of personal needs which included those who lived with dementia, and physical health needs.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk.
People’s experience of using this service:
¿ Although the registered manager completed audits of the service and people’s care each month, people’s care plans were not always reflective of their current support needs.
¿ The registered manager was in the process of completing easy read documentation to better people’s understanding of menus and the complaints process, however this had not yet been implemented.
¿ Staff had received training; however, the training plan was not up to date with what training had been received. This meant that there was not full oversight of what training staff had received to meet people’s needs. The registered manager was aware of these areas for improvement and needed further time to implement and embed actions.
¿ For some people who required support to make decisions about their care, mental capacity assessments were not reflective of the decision-making process. There was limited evidence to demonstrate that people’s views, or those involved in their care, had been sought.
¿ People and their relatives told us they felt safe and that there were enough staff to meet their needs. Staff knew people and any areas of risk. There were assessments to address these concerns and how these should be mitigated.
¿ Regular checks were completed on the environment to ensure the building was safe for people and the home was clean, tidy and well maintained.
¿ We observed staff giving medicines to people in a safe and person-centred way. Staff had regular training and competency assessments completed to ensure they had a good knowledge of giving medicines.
¿ People and their relatives were confident that staff had the skills and knowledge to meet people’s needs. Staff were further supported in their roles with regular supervision and annual appraisals.
¿ People had regular access to health and social care professionals to improve their wellbeing. People’s nutritional needs were met and they told us they appreciated the quality, quantity and choice of foods offered.
¿ People took part in activities that promoted their health and social wellbeing. The activities co-coordinator also organised activities that reflected people’s wishes and personal histories.
¿ People and their relatives told us they had not had any reason to raise complaints, however felt comfortable doing so with the registered manager.
¿ Although no-one was receiving end of life care at the time of inspection, staff had demonstrated kindness and compassion when people had previously passed away. The service had received lots of thank you cards from relatives with high praise for the support people had received.
¿ People, their relatives and staff spoke highly about the registered manager and felt that a supportive, team working ethic was promoted.
¿ The registered manager was relatively new to their post at this service and had already implemented positive changes to the environment. They had a clear action plan for how they would rectify areas for improvement.
¿ The registered manager knew the importance of working in partnership and had already organised activities with the community as well as accessing continued support from the local authority.
Rating at last inspection:
At their previous inspection, Derwent Residential Care Home were rated as Good. (Report published 3 June 2016)
Why we inspected:
We inspected the service as part of our inspection methodology for ‘Good’ rated services.
Follow up:
We will review the service in line with our methodology for ‘Requires Improvement’ services.