Background to this inspection
Updated
1 April 2020
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
This inspection was completed by one inspector.
Service and service type
Devereux House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. 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 that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced. We visited the service on 2 March 2020.
What we did before the inspection
We reviewed information we held about the service, including notifications we had received from the provider. A notification is information about important events which the service is required to send us by law. We sought feedback from the local authority contract monitoring and social services team. We used all of this information to plan our inspection.
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We met five people who lived at the home, spoke with four family members and asked them about their experience of the care provided. We spoke with two representatives of the provider, the registered manager and 12 members of staff including care, housekeeping and catering staff.
We looked at four people’s care records and their medicine records. We observed staff interactions with people in communal areas. We also looked at four staff members’ files in relation to recruitment, induction, supervision and appraisal, and at staff training records.
We reviewed quality monitoring records and other records relating to the management of the service including policies and audits.
After the inspection
We continued to seek clarification from the provider to validate evidence found, and reviewed maintenance certificates, minutes of recent meetings with the provider and other documents that the registered manager sent us after the inspection.
Updated
1 April 2020
About the service
Devereux House is a residential care home for up to 16 people aged 65 and over. 12 people were living there at time of the inspection. The home Is located above a day centre in a residential area of Farnborough. The home has its own lounge/dining room but shares the kitchen and main activity space with the day centre.
People’s experience of using this service and what we found
People received safe care and treatment from trained, caring and compassionate staff. People told us they felt safe living at Devereux House. Staff were able to give examples of how to identify potential abuse and the actions they would take to protect people.
We observed caring and respectful interactions between people and care staff. People and their relatives were very positive about the service. One person said, “It is a homely and welcoming place and the staff are second to none.” Another said, “All the staff are so kind and gentle.”
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 place supported this practice. Risk assessments were detailed and person-centred and gave clear information on steps staff should take to reduce and mitigate risk.
Recruitment processes enabled the provider to recruit staff assessed as safe to work in health and social care with people. Staff were supported to carry out their roles through training, supervisions and annual appraisals. Good team work was encouraged and evident.
People were supported to participate in group activities and take meals in the communal dining area. Staff also respected the wishes of people who preferred to pursue their own interests and have more privacy.
People were consulted about their care and care plans were personalised and up to date with people’s needs and preferences. Staff listened to people’s wishes and responded quickly and appropriately. People were treated with compassion at the end of their lives.
People and their relatives knew who to speak to if they had a complaint to raise. They were confident that if they did raise a concern it would be dealt with immediately. They knew the registered manager very well and felt confident about approaching them at any time.
Quality monitoring systems included audits and observation of staff practice. The provider made regular checks on key aspects of the service and produced written reports and monitored action taken.
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 23 August 2017).
Why we inspected
This was a planned comprehensive inspection based on the rating at the last comprehensive inspection. At this inspection the service remained good.
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