The Care Quality Commission
  • Care Home
  • Care home

Archived: Derbyshire Haven

Overall: Good read more about inspection ratings

2 Brendon Road, Wollaton, Nottingham, Nottinghamshire, NG8 1HW (0115) 928 2110

Provided and run by:
The Trustees of the Lucy Derbyshire Annuity Fund

All Inspections

4 March 2015

During a routine inspection

This inspection took place on 4 March 2015 and was unannounced. Derbyshire Haven provides accommodation and personal care for up to 12 people with or without dementia and people with physical health needs. On the day of our inspection 12 people were using the service. The service is provided across two floors with a passenger lift connecting the two floors.

The service had 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.

At our last inspection in August 2013 we found that the provider was not meeting the legal requirements in respect of management of medicines, staffing levels and records. The provider sent an action plan stating what they would do to become compliant. During this inspection we found that the provider had made the required improvements. People received their medicines as prescribed and were cared for by sufficient numbers of staff. Records relating to people and staff were accurate and up to date.

People told us they felt safe living at the care home and were cared for by staff who knew how to protect them from the risk of abuse. People were supported by a sufficient number of staff and the provider ensured appropriate checks were carried out on staff before they started work. People received their medicines as prescribed and they were safely stored and properly recorded.

Staff had the knowledge and skills to care for people effectively and were fully supported by the manager. People were asked for their consent before care was provided. The Mental Capacity Act (2005) (MCA) was being used correctly to protect people when there were doubts about their capacity to make their own decisions about the care they received.

People received support from health care professionals such as their GP and district nurse when needed. Staff took on board the guidance provided by healthcare professionals in order to support people to maintain good health. People had access to sufficient quantities of food and drink.

Positive and caring relationships had been developed between people and staff. People were fully involved in the planning and reviewing of their care and made day to day decisions. People were treated with dignity and respect by staff and supported to maintain their independence.

People received care that was responsive to their needs and staff had up to date knowledge about the support people required. People felt able to complain and knew how to do so. The complaints procedure was displayed and regularly discussed with people.

There was a positive, open and transparent culture in the home. People who used the service and staff felt able to raise any issues with the manager and they were dealt with. There were different ways people could provide feedback about the service which people were made aware of. There were effective systems in place to monitor the quality of the service. These resulted in improvements being made to the service where required.

28 August 2013

During a routine inspection

We spoke with five people who were using the service and asked their opinion about the care they received. We were told, 'It is fantastic, I am well cared for. Anything I need I just have to ask.' Another person said, 'I have nothing to complain about, it's nice here. The staff look after me well.' One person told us, 'I do get lonely and I would appreciate it if the staff came and talked to me a bit more.' We saw that people were provided with different choices of hot and cold food at meal times. The portion sizes appeared to be appropriate and people ate most the food they were given.

Appropriate arrangements were not in place with regards to the storage, safe keeping and disposal of medicines. We saw that there were not sufficient numbers of staff employed to meet the needs of people using the service as well as completing other duties. Staff were appropriately supported through training and supervision meetings.

We saw records of meetings that had taken place for people using the service and their relatives. These confirmed that people were asked for their opinions about the service they received. People had the opportunity to give feedback and make suggestions about changes they would like to see.

Records were not always fully up to date to reflect the care that had been provided to people using the service.

13 September 2012

During a routine inspection

We spoke with three people who were using the service during our visit. Each of the people we spoke with told us staff were polite and respectful. One person said, 'All of the staff are lovely and respect me. They know me as an individual.'

During our visit we observed staff speaking with people in a polite and respectful manner.

Care and treatment was not always planned and delivered in a way that ensured people's safety and welfare. Where any changes to a care plan were required these were noted on the back of the review page. The actual care plans were not updated, the care plans we saw were all over one year old. Body maps were in place to document any bruising or skin tears sustained by people. We saw that these were not being used effectively and staff did not know when they should use a body map.

We spoke with three people who were using the service during our visit. Each of the people we spoke with told us they felt safe living at the service and did not have any concerns.

The people we spoke with said they felt they would be happy to raise a formal complaint should they need to do so. One person said, 'I am sure it would be dealt with properly, I would have no concerns about making a complaint.'

23 February 2012

During a routine inspection

People told us that the staff consulted them about their care. One person said, " I have a key worker and she comes to talk to me about once a month about my care. She writes down what we talk about." People said that they had attended meetings with the manager to talk about meals and activities.

We saw that the staff always knocked on their bedroom doors before entering and one person told us, 'They always knock and wait until I shout come in." A regular visitor to the home told us, 'All the staff are lovely and polite here." We observed that people were not rushed and choices were given about where people wanted to spend their afternoon and what food they wanted.

There were activities organised by staff people told us about a "lovely coffee morning" held recently. Some remembered trips they had been on to a garden centre and to a park. They wanted more opportunities to visit places.

When we asked if they felt safe, one person said, "Oh yes, they look after me well here." Another said, "Definitely - better than where I was on my own." People said they would tell staff or the manager if they had any concerns.

Comments about staff included, "They help me and they are lovely" and "They know what I need." We observed staff assisting people to move around and they responded immediately when a call alarm sounded.