Background to this inspection
Updated
11 February 2020
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
This inspection was carried out by two inspectors and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Devonshire Dementia Care Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with four people and two relatives. We also spoke with four staff, and the Director of Care.
We reviewed a range of records. This included three people’s care records and multiple medication records. We looked at six staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
The provider sent us evidence of improvements made following our initial inspection feedback.
Updated
11 February 2020
About the service
Devonshire Dementia Care Home is a residential care home providing personal care to 32 older people at the time of the inspection. The care home can accommodate up to 34 people in one adapted building.
People’s experience of using this service and what we found
We identified some minor improvements to records were required during the inspection. The provider took prompt action to remedy these the following day. The provider had recently developed improved quality checks, however more time was needed for us to ensure these were sustained. The management team were highly spoke of and supported people, relatives and staff.
Safeguarding concerns, and any incidents or accidents were appropriately reported and investigated. Risk assessments were updated to ensure staff were able to support people well. Medicines were safely managed and provided at the times that people needed them. Steps to improve infection control procedures were implemented during the inspection. Staff recruitment processes were safe.
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.
Staff were up to date in training topics that were relevant to her role. Staff were supported through regular supervision and appraisal. People were well supported to access healthcare professionals and staff ensured people had regular fluids and suitable meals.
People and their relatives reported that staff were caring and met their needs well. People were treated with dignity and respect.
Care plans detailed people’s preferences and how they liked to be cared for. There were plentiful activities for people to participate in if they chose to. People’s end of life care wishes were discussed and recorded where appropriate.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was Good (report published 22 June 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.