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The provider of this service changed - see old profile

We are carrying out checks at Diamond House using our new way of inspecting services. We will publish a report when our check is complete.

Inspection Summary


Overall summary & rating

Good

Updated 2 June 2016

The inspection took place on 5 April 2016 and was unannounced.

The home was registered to provide accommodation with personal care for up to 42 older people. There are 38 single rooms and two double rooms which were not used as multi-occupied rooms. On the day of our visit there were 39 people living at the home, some of whom were living with dementia.

There was a registered manager at the service, who was permanently based onsite. 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.

People felt safe living at the home. Staff were trained in adult safeguarding procedures and knew what to do if they considered people were at risk of harm of it they needed to report any suspected abuse.

Systems were in place to identify risks and protect people from harm. Risk assessments were in place and regularly reviewed. Where someone was identified at being at risk actions were identified on how to reduce the risk and referrals were made to relevant health care professionals.

There were sufficient staff numbers on duty to keep people safe and to meet people’s needs. Safe staff recruitment procedures were in place which ensured only those staff suitable to the role were in post.

Policies and procedures were in place to provide staff with the safe ordering, administration, storage and disposal of medicines. Medicines were managed, stored, given to people as prescribed and disposed of safely by trained staff.

The Care Quality Commission monitors the operation of the Mental Capacity Act (MCA) 2005 and the Deprivation of Liberty Safeguards (DoLS) which applies to care homes. Staff were trained in the MCA and DoLS. Staff sought consent from people regarding their care. Appropriate referrals where in place, along with best interest decision meetings and consent from relatives where appropriate for people assessed as lacking capacity to make specific decisions.

Staff were worked well with people living with a dementia and had received appropriate training to deal with all elements of providing care services.

People health care needs were assessed, monitored and recorded and referrals for assessment and treatment were made. Where people had appointments within healthcare they were supported by staff to attend these.

Staff were caring, knew people well, and supported people in a dignified and respectful way. Staff acknowledged people's privacy. People felt that staff were understanding of their needs and provided support during periods of distress. Staff had positive working relationships with people.

Care was provided to people based on their individual needs and was person-centred. People and their relatives were fully involved in the assessment of their needs and in care planning to meet those needs. Staff had a good knowledge of people's changing needs and action was taken to review care needs.

Staff listened and acted on what people said and there were opportunities for people to contribute to how the service was organised. People knew how to raise any concerns. The views of people, relatives, health and social care professionals were sought as part a quality assurance process.

Quality assurance systems were in place to regularly review the quality of the service that was provided.

This particular service was taken over in January 2016 by Larchwood Care.

Inspection areas

Safe

Good

Updated 2 June 2016

The service was safe.

Staff received safeguarding training and knew how to recognise and report abuse.

There were sufficient staff numbers to ensure that people were safe and their needs were met.

Risk was managed effectively and regularly reviewed to ensure they reflected people’s current level of risk.

Medicines were managed safely.

Effective

Good

Updated 2 June 2016

The service was effective.

Staff had received training to ensure that they were able to meet people’s needs effectively. They received regular supervision.

People were supported to maintain good health and had regular contact with health care professionals. They had sufficient to eat and drink and were involved in menu planning.

The home had Mental Capacity Act 2005 and Deprivation of Liberty Safeguards (DoLS) policies and procedures and staff were provided with training. The legislation was being followed to ensure people’s consent was lawfully obtained and their rights protected.

Caring

Good

Updated 2 June 2016

The service was caring.

People were treated with kindness and dignity by staff who took time to speak and listen to them. Staff were understanding of those living with dementia. Staff acknowledged people's privacy.

People were consulted about their care and had opportunities to maintain and develop their independence.

Responsive

Good

Updated 2 June 2016

The service was responsive.

People received care which was personalised and responsive to their needs.

Some activities were available for people and plans were in place for improvements to this.

People were able to express concerns and feedback was encouraged.

Well-led

Good

Updated 2 June 2016

The service was well-led.

The registered manager sought the views of people, relatives, staff and professionals regarding the quality of the service and to check if improvements needed to be made.

There were a number of systems for checking and auditing the safety and quality of the service.