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Inspection Summary


Overall summary & rating

Good

Updated 19 August 2021

About the service

Deepdene Court is a residential care home registered to provide care and accommodation for up to 35 people who have a range of mental health needs, including people who have complex and enduring conditions or addictive behaviours such as substance misuse. The home is divided into two buildings, St Catherine's and Fielding's. St Catherine's accommodates people who also require nursing care. On the day of the inspection there were 31 people living at the home.

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

Risks to people’s health and safety were assessed and people were supported to stay safe. Care and support plans were person-centred, promoted independence and provided staff with clear guidance on how to support people. Staff were aware of their safeguarding responsibilities and knew how to report and escalate concerns.

Risks were appropriately reported by staff, investigated by the managers and action taken to mitigate risks and reduce the risk of reoccurrence. The manager and staff worked to maintain a safe and homely environment for people. Infection prevention and control practice was safe and in accordance with government guidance.

Medicines were managed safely and people received their medicines as prescribed and in the way they preferred. People prescribed as required medicines (PRN) had detailed care plans to guide staff when PRN medicine should be administered.

The service had experienced some issues with staffing levels due to the global pandemic. Although the service continued to have vacancies, the manager was in the process of recruiting new staff. Agency staff were used to ensure there was a safe level of staffing to meet peoples needs. Staff had completed appropriate training relevant to the needs of the people they were caring for.

Staff knew people well and showed in depth knowledge and understanding about people and their care. People spoke warmly and positively about staff. One person told us, "The staff here are really friendly", another described staff as, “kind and caring”. One staff member said, "We all know how difficult it can be living with mental illness, we want to support people. The job doesn't stop here for a lot of us, I've gone above and beyond to support people."

People and staff spoke positively about the manager and senior staff team. There were effective management systems in place to monitor the quality of the service. When shortfalls were identified, changes were made to improve. Accidents and incidents were analysed to learn from and drive improvements throughout the service. Staff had established close links to the community and worked effectively with external teams and agencies.

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.

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

Rating at last inspection

The last rating for this service was Good (published 02 November 2017).

Why we inspected

This was a planned, focussed inspection based on the previous rating.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Deepdene Court on our website at www.cqc.org.uk.

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

Good

Updated 19 August 2021

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 19 August 2021

Caring

Good

Updated 19 August 2021

Responsive

Good

Updated 19 August 2021

Well-led

Good

Updated 19 August 2021

The service was well-led.

Details are in our well-Led findings below.