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Inspection Summary


Overall summary & rating

Good

Updated 16 May 2017

This unannounced inspection took place on 21 April 2017. Deepdene House is a care home that provides care and support up to 20 people with mental health needs. At the time of the inspection there were 20 people using the service.

The service had a registered manager in place. 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.

We last carried out an unannounced focused inspection on 4 November 2014 and made a recommendation in relation to safe medicines management. We also found one breach in regulation relating to cleanliness and infection control.

At this inspection we found the service had made improvements around the safe management of medicines. People received their medicines in line with good practice and as prescribed. Records relating to the administration, recording and storage of medicines were up to date.

At this inspection we found the service had taken action to improve the cleanliness of communal bathrooms. The service had ensured hallways, stairs and landings were adequately cleaned to minimise the risk of infection.

People were protected against the risk of harm and abuse because staff were aware of the signs of abuse and how to report their concerns. Staff received safeguarding and whistleblowing training and told us they felt confident in raising their concerns and that these would be acted on. The service had devised risk assessments that gave staff clear guidance on how to manage and mitigate the risks safely.

The service employed sufficient numbers of suitable staff that had undergone criminal checks and other vetting procedures. The registered manager and staff confirmed that the rotas were flexible to ensure people could attend activities and health care appointments. Staff received training to ensure they met people’s needs. Staff reflected on their working practices through supervisions and appraisals.

People did not have their liberty restricted unlawfully. The registered manager and staff were aware of their responsibilities of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS). DoLS authorisation requests were submitted by the service to the local authority when they required to place restrictions on people’s liberty.

People confirmed they were supported to access health care appointments when required. People’s health was monitored and maintained. The service ensured people had access to sufficient amounts of food and drink to meet their dietary requirements and preferences. The service encouraged people to maintain a healthy lifestyle. People spoke positively about the food provided.

Care plans were person centred and detailed people’s health, social and medical needs. Staff were aware of the importance of following the guidance set out in care plans and deliver care in a way people wanted. Care plans were reviewed regularly to reflect people’s changing needs.

People confirmed they were encouraged to make decisions about their care and told us staff respected their decisions. Staff treated people with dignity and respect and encouraged people to maintain their dignity. Staff were aware of the importance of confidentiality and the impact breaching confidentiality can have on people. The service maintained people’s records securely, with only those with authorisation having access to them.

People accessed both in-house and community based activities, that met their preferences and choices. Staff encouraged people to participate in activities and could identify how people may present if socially isolated. People knew how to raise concerns and complaints. People told us they would speak with staff, the registered manager or their relatives if they were dissatisfied with

Inspection areas

Safe

Good

Updated 16 May 2017

The service was safe. People received their medicines in line with good practice and as prescribed.

People were supported to live in an environment that was maintained to protect them from the risk of infection.

People were protected against the risk of harm and abuse. Staff received safeguarding training and knew how to identify and report suspected abuse. Risk assessments were detailed and gave staff clear guidance on responding to identified risks.

The service deployed sufficient numbers of suitably qualified staff that met people’s needs safely.

Effective

Good

Updated 16 May 2017

The service was effective. People were not deprived of their liberty unlawfully. The registered manager and staff were aware of their responsibilities of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS). The service submitted DoLS requests to the local authority when they it was required to restrict people’s liberty. And abided by the outcome.

People were supported by staff that received effective training to meet their needs.

People had access to sufficient amounts of food and drink that met their dietary needs. People were given choices about the food provided.

Caring

Good

Updated 16 May 2017

The service was caring. People’s privacy and dignity was maintained and respected by staff that demonstrated kindness and compassion.

People were given information about the care they received in a manner they understood.

Staff were aware of the importance of maintaining people’s confidentiality. Records containing personal information was kept securely with only authorised personnel having access to them.

Responsive

Good

Updated 16 May 2017

The service was responsive. Care plans were person centred and reflected the way in which people chose to be supported. Care plans were reviewed regularly to reflect people’s changing needs.

People were encouraged to participate in activities both in house and in the community that met their preferences.

People knew how to raise a complaint. Complaints received by the service were investigated and action taken in a timely manner to reach a positive resolution.

Well-led

Good

Updated 16 May 2017

The service was well-led. The registered manager and staff delivered care that focused on empowerment and independence. The registered manager actively sought partnership working.

Audits and quality assurance questionnaires were undertaken to improve the quality of care provided and improve the service delivery. Issues identified were acted upon in a timely manner.