Updated 21 February 2019
The inspection:
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
This inspection was completed by one adult social care inspector.
Service and service type:
Derby House is a ‘care home’. People in care homes receive accommodation and nursing or personal care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means the manager and the provider are both legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection:
This inspection was announced. We gave the service 48 hours’ notice of the inspection visit because it is small and the manager is often out of the office supporting staff or at the other two services they manage. We needed to be sure that they would be in.
What we did:
Before this inspection we reviewed information we held about the service. The registered manager had completed a Provider Information Return (PIR). The PIR is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We also reviewed notifications submitted to us by the service. Providers are required by law to notify us of certain events, such as when a person who uses the service suffers a serious injury. We took this information into account when we inspected the service.
We contacted social care commissioners who help arrange and monitor the care of people living at Derby House. We also contacted Healthwatch Barnsley. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used the feedback from these organisations to plan our inspection.
During this inspection we spoke with both people living at Derby House, and three of their relatives. We spoke with the registered manager and the one support worker on duty. We spoke with the second staff member over the telephone. We also spoke with a community health professional who had regular contact with the service over the telephone, to obtain their views about the service.
We looked at both people's care records, administration records for three separate medicines and two staff files which included recruitment checks, supervisions, appraisals and training records. We also looked at other records relating to the management of the service, such as quality assurance audits.
We spent time observing the daily life in the service and we looked around the building to check environmental safety and cleanliness.