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Derwent House Residential Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 8 February 2020

About the service

Derwent House Residential Home is a care home providing personal care for up to 65 older people. At the time of our inspection 40 people lived at the service across two separate areas. Derwent House supports people with residential care needs and Riverview Lodge supports people living with dementia

People’s experience of using this service

The standards of care provided to people had improved since the last inspection. We received positive views from people and social care professionals about the support provided to people. Care and support was now more tailored to people's needs and preferences.

People were generally safe from risk. However, some risk assessments and care plans needed improving to ensure this. People, staff and relatives raised concerns regarding staffing levels. Staffing levels were increased during the inspection based on our feedback. Although the systems in place to monitor quality had not found these concerns, great improvements had been made in the quality of care provided and the service was no longer in special measures.

People received their medicines on time and their health was well managed. Staff had positive links with health care professionals which promoted people’s wellbeing. Recruitment processes were safe and robust. There were systems in place to safeguard people from abuse and staff demonstrated an awareness of these.

Staff demonstrated effective skills in supporting people with communication. Staff had received training and support to enable them to carry out their role. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice.

People were supported with activities and interests to suit them. Staff knew people’s likes and dislikes well. Staff told us the management team were approachable. The provider had systems in place to safeguard people from abuse.

The registered manager was supported by a management team and the nominated individual. All the management team spoke passionately about improving the service and being committed to raising the quality of care provided. Relatives and staff told us the registered manager was approachable and knowledgeable and was making positive steps to improve the service.

For more details, please see the full report which is on the Care Quality Commission (CQC) website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was inadequate (published 19 August 2019) 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. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or 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.

Follow up

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 8 February 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 8 February 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 8 February 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 8 February 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 8 February 2020

The service was not always well-led.

Details are in our well-led findings below.