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Reports


Inspection carried out on 13 and 16 November 2015

During a routine inspection

This was an unannounced comprehensive inspection carried out by one inspector on 13 and 16 November 2015. We last inspected the home in January 2014 when we found the service was compliant with regulations and the standards required at that time.

The home had a registered manager who had been employed since December 2014 and registered in November 2015. 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.

The home is registered to accommodate 19 people and at the time of inspection 17 people were living at the home, the majority of whom were accommodated for frailty associated with old age.

Dalvey House provided a safe service to people. Staff had been trained in safeguarding adults and were knowledgeable about how to refer any concerns of abuse.

Risks to people’s health concerning delivery of their care or concerning the physical environment, had been assessed to make sure that people’s care and the home ran as safely as possible .

Accidents and incidents were monitored and audited to see if there were any trends that could make systems and care delivery safer.

The home employed sufficient staff to meet people’s needs.

Robust recruitment procedures were followed to make sure competent and suitable staff were employed to work at the home. The home had a full complement of staff at the time of inspection.

Medicines were managed safely in the home.

The staff team were well-trained and there were systems in place to make sure staff received update training when required.

The home was meeting the requirements of the Mental Capacity Act 2005, with appropriate applications made to the local authority for people at risk of being deprived of their liberty.

People’s consent was gained for how they were cared for and supported.

Staff were supported through one to one supervision and annual appraisals.

People were provided with a good standard of food and their nutritional needs met.

People were positive about the staff team and the good standards of care provided in the home. People felt their privacy and dignity were respected.

Care planning was effective and up to date, making sure people’s needs were met.

The home provided a full programme of activities to keep people meaningfully occupied.

The home had a well-publicised complaints policy and when a complaint was made, they were logged and responded to.

There were systems in place to monitor the quality of service provided to people.

There was good leadership of the home and a positive ethos and culture prevailing in the home.

Inspection carried out on 29 January 2014

During an inspection to make sure that the improvements required had been made

We carried out this inspection on the 29 January 2014, to follow up on compliance actions made at the last inspection of the home in September 2013.

During this unannounced inspection we spoke with the manager, three people living at the home and one relative. There were 17 people living at Dalvey House at the time of our inspection.

People living at Dalvey House were positive about their experience of living at the home. No one had any complaints or concerns about how the home was run and managed.

People were protected against the risks associated with medicines because the provider had appropriate arrangements in place to manage medicines.

The provider had suitable quality assurance procedures in place to manage the health and welfare of people living in the home. People were able to comment on the service provided.

Inspection carried out on 13 September 2013

During an inspection to make sure that the improvements required had been made

We carried out this inspection on the 13 September 2013, to follow up on compliance actions made at the last inspection of the home in April 2013.

We spoke with the manager, three people living at the home, one relative and one visitor. There were 19 people living at Dalvey House at the time of our inspection.

People that we spoke with were positive about the way the home was run and managed. No complaints or concerns were raised with us during our visit.

People were not protected from risks associated with medicines because the provider did not have appropriate arrangements in place to manage medicines.

We found the home did not have a robust quality assurance system in place to ensure standards in the home were maintained.

Inspection carried out on 17 April 2013

During a routine inspection

We carried out this inspection of Dalvey House on the 17 April 2013. We spoke with the manager, six people living at the home, one relative and two members of the staff team.

People living at Dalvey House were very positive about their experience of living at the home. No one had any complaints or concerns about how the home was run and managed.

People told us that they had good relationships with the staff, who were described as 'kind'. They told us that the home was kept clean and warm. People said there were activities to keep them occupied.

People who lived at Dalvey House benefited from thorough processes and procedures being followed when new staff were recruited, which meant they were protected from harm.

People were cared for in a clean, hygienic environment.

We found the home did not have a robust quality assurance system in place to ensure standards in the home were maintained.