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Devonshire House Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 4 September 2019

About the service

Devonshire House is a residential care home that provides accommodation and personal care for up to 25 people, some of whom were living with dementia or learning disabilities. On the day of our visit there were 25 people using the service.

People’s experience of using this service and what we found

Medicines were managed safely at the home, but some improvements were still needed.

We have made two recommendations regarding medicines.

People were happy living at Devonshire House and felt safe. Appropriate safeguarding procedures were in place to protect people from abuse. Staff knew how to report concerns internally but some were unsure how to report concerns externally. The registered manager assured us they would revisit safeguarding procedures at the next team meeting to refresh the staff. Staff were confident that any concerns raised would be taken seriously by management.

There were enough staff to meet people’s needs and they were recruited safely. Staff received appropriate training and support to enable them to carry out their role effectively. 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 were happy with the food provided and the cook catered for everyone’s needs. Although work was still ongoing, for example the building of a shower room and decoration, we found the environment had improved.

Staff were caring and treated people with kindness. People were treated with dignity and respect.

People had clear, detailed and person centred care plans, which guided staff on the most appropriate way to support them.

There was a clear management structure and staff were supported by the registered manager and provider. Improved quality assurance systems were being introduced. However, this was a new system and needed to be sustained further.

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 (published 5 February 2018) and there were multiple breaches of regulation. 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.

This service has been in Special Measures since January 2019. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate in any of the key questions. Therefore, this service is no longer in Special Measures.

Why we inspected

This was a planned inspection based on the previous rating.

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.

Inspection areas

Safe

Requires improvement

Updated 4 September 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 4 September 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 4 September 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 4 September 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 4 September 2019

The service was not always well-led.

Details are in our well-Led findings below.