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Archived: Down Hall Residential Home Good

Reports


Inspection carried out on 10 July 2017

During a routine inspection

The inspection took place on 10 July and it was unannounced.

Down Hall Residential Home is registered to provide accommodation and personal care for up to 38 older people some of whom may be living with dementia. When we inspected there were 32 people living in the service.

At the last inspection, the service was rated 'Good' and at this inspection we found the service remains 'Good'.

There was a registered manager in post. 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 received a safe service and were protected from the risk of harm. There were enough staff that had been safely recruited to help keep people safe and meet their needs. Medicine management was good and people received their medicines as prescribed.

People were cared for by experienced, supported and well trained staff. The service supported people to have choice and control over their lives and in the least restrictive way possible. People received sufficient food and drink to meet their needs and preferences and their healthcare needs were met.

Staff knew the people they cared for well and were kind, caring and compassionate in their approach. People were encouraged and supported to remain as independent as possible. Staff ensured that people were treated with dignity and respect and their privacy was maintained at all times.

People were fully involved in the assessment and care planning process. Their care plans had been regularly reviewed to reflect their changing needs. People were encouraged and supported to participate in a range of activities to suit their individual interests. Complaints were dealt with appropriately and in a timely way.

People were positive about the quality of the service. The registered manager and staff were committed to providing people with good quality person centred care that met their needs and preferences. There were effective systems in place to monitor the quality of the service and to drive improvements. The service met all relevant fundamental standards.

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Inspection carried out on 15 July 2015

During a routine inspection

This inspection took place on 15 July 2015 and was unannounced.

Down Hall Residential Home provides personal care and accommodation for up to 34 older people who may also have dementia. There were 30 people using the service including two people receiving respite care on the day of our inspection.

There is a registered manager in post. 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.

There were sufficient staff who had been recruited safely with the skills and knowledge to provide care and support to people.

People’s health and emotional needs were assessed, monitored and met in order for them to live well. The service worked closely with relevant health care professionals. People received the support they needed to have a healthy diet that met their individual needs.

People were treated with kindness, respect and dignity by staff who knew them well and who listened to their views and preferences.

People were able to raise concerns and give their views and opinions and these were listened to and acted upon. Staff received guidance about people’s care from up to date information about their changing needs.

There was a strong management team who worked well together and were visible in the service. People were well cared for by staff who were supported.

The management team had systems in place to check and audit the quality of the service. The views of people were taken into account to make improvements and develop the service.

Inspection carried out on 17 May 2013

During a routine inspection

We spoke to people living in the home. They were happy with the care and services provided. One person told us: "I feel much better since I have been here and I am now up and walking, the staff get me up and out, walking and socialising." We found that people living with dementia in the home were happy to interact with us and the staff team and were comfortable in the company of the staff.

People had care management plans in place that guided staff as to the care and support they needed. We found that the people living at the home were cared for by staff who received a good level of training and support from the provider and manager. The provider had systems in place to help them get feedback on the quality of the service they provided and to help ensure quality and safety at the home.

Inspection carried out on 24 September 2012

During a themed inspection looking at Dignity and Nutrition

People told us what it was like to live at this home and described how they were treated by staff and their involvement in making choices about their care. They also told us about the quality and choice of food and drink available. This was because this inspection was part of a themed inspection programme to assess whether older people living in care homes are treated with dignity and respect and whether their nutritional needs are met.

The inspection team was led by a CQC inspector joined by an 'expert by experience', a person who has experience of using services and who can provide that perspective and a professional advisor who has had experience of working in adult social care and who can provide that perspective.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a specific way of observing care to help us understand the experience of people who could not talk with us.

One person told us the home was “fabulous” and that they could do whatever they wanted, whenever they wanted. They said “Everyone without exception is very, very kind.” Another person said “I’m really happy, it’s nice here.”

A relative told us they visited at various different times and no matter when they came the care was consistent. They said they always found their relative and others in the home to be “Happy and well looked after.”

Reports under our old system of regulation (including those from before CQC was created)