We carried out a review of the data available to us about Deepdale Neurological Centre on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Deepdale Neurological Centre, you can give feedback on this service.
Deepdale Neurological Centre is a specialist care home which provides care and accommodation for up to 8 people who may have a brain injury, other neurological conditions and/or physical and mental health needs. At the time of inspection 6 people lived at the home, however 1 person was in hospital at the time of our inspection.
At the last inspection we found the safety and quality of people’s care was compromised. The registered manager had implemented an action plan to address the breaches of regulation and recommendations found at the last inspection and had made improvements to all aspects of the service.
People’s experience of using this service and what we found
People living at Deepdale Neurological Centre benefited from a service that was safe, effective, caring, responsive and well led.
Regular health and safety checks were carried out to ensure the home was a safe environment for people to live in. Risks to people were identified, managed and mitigated by staff to lessen the risk of harm to people. People received their medications as prescribed and by staff who were trained and competent.
Staff recruitment processes ensured staff were safe to work with people. In addition to mandatory training, staff received more specialised training to help deliver care to people which was tailored to their specific health care needs.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
People’s accommodation was not unlike a self-contained flat. People told us they felt at home at Deepdale Neurological Centre. We observed staff support and interact with people in a caring and respectful way.
The registered manager was described by staff as being helpful and approachable. The manager helped instil a positive culture which was committed to delivering high-quality and individualised care to people. Staff also understood, shared and practiced this ethos and values.
The service worked in collaboration and partnership with other relevant organisations to help achieve better and more positive outcomes for people.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (report published 5 November 2019). The provider completed an action plan after the last inspection to show what they would do and by when to improve.
At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
We carried out an unannounced comprehensive inspection of this service on 1 and 2 October 2019. Breaches of legal requirement were found in relation to safe care and treatment, staffing and good governance. We also made recommendations in relation to infection prevention and control, mental capacity, record keeping, end of life care and quality assurance. The provider completed an action plan after the last inspection to show what they would do and by when to improve.
We undertook this inspection to check they had followed their action plan and to confirm they now met legal requirements.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
The overall rating for the service has changed from requires improvement to good based on the findings of this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Deepdale Neurological Centre on our website at www.cqc.org.uk
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
Deepdale Neurological Centre is a specialist care home which provides care and accommodation for up to eight people who may have a brain injury, other neurological conditions and/or physical and mental health needs. At the time of inspection five people lived at the home.
People’s experience of using this service and what we found
People were not consistently protected from risks of harm because staff did not have training in managing behaviours that could challenge others. Staff had not been provided with adequate guidance on identifying triggers for challenging behaviour and they had not carried out de-briefs to reflect on serious incidents in the home. People were supported with the safe use of medicines. Some of the staff had received training in safe medicines management and had access to national guidance and best practice. People were supported by staff who had been safely recruited. We made a recommendation regarding improving infection control awareness among staff.
People were not supported by staff who had the right skills and knowledge. Staff did not receive suitable induction and training to meet the specialist needs of people they supported. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests. The policies and systems in the service supported this practice however this was needed to be consistent.
People were asked to consent to their care and treatment. However, staff were not aware of conditions set for people who were subject to Deprivation of Liberties (DoLS) restrictions. In addition, improvements were required to ensure documentation was kept on how the use of restraint was in the best interest of people where it was required to keep people safe. We made a recommendation about meeting MCA/DoLS practices.
People received support to maintain good nutrition and hydration and their healthcare needs were understood and met.
The registered manager and the registered provider had established governance system at the home however this had not been adequately implemented to promote a person-centred approach and the delivery of high-quality care. Shortfalls were not resolved in a timely manner and recommendations from visiting professionals had not been used to improve the service. We made a recommendation regarding seeking feedback and responding to feedback from staff and people. The registered manager needed to enhance collaborative working with local services and commissioners.
People and their relatives were involved in designing their care and setting their goals however they were not involved in the review of their care. We made a recommendation about person centred care reviews and about end of life care planning. There were arrangements to maintain regular communication between relatives and staff. People and family members knew how to make a complaint and they were confident about complaining should they need to. They were confident their complaint would be listened to and acted upon quickly.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection:
This service was registered with us on 11/10/2018 and this is the first inspection.
Enforcement:
We have found evidence that the provider needs to make improvements. Please see safe, effective, responsive and well-led sections of this full report. We have identified breaches in relation to, safe care and treatment, staff training and good governance. You can see what action we have asked the provider to take at the end of this full report.
Follow up
We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.