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Archived: Delaware House Good

The provider of this service changed - see new profile

Inspection Summary


Overall summary & rating

Good

Updated 19 May 2017

The Inspection took place on 27 March 2017 and 21 April 2017 and was unannounced.

Delaware House is registered to provide accommodation and personal care without nursing to up to 24 older people, some of whom may be living with dementia. There were 21 people living in the service at the time of our inspection.

There was a registered manager in post. 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.

Although staff had received training and had a good understanding of people’s needs improvements were needed to ensure that staff received regular updates in their training to refresh their knowledge.

People were protected from the risk of harm and staff knew how to protect them. There were sufficient numbers of staff employed that had been appropriately recruited to ensure they were suitable to work with vulnerable people. People received their medication as prescribed.

Staff were well supported and demonstrated a good understanding of the people they cared for. They had access to guidance and information to support them when necessary. The registered manager and staff had a good understanding of the Mental Capacity Act (MCA) 2005 and had received training to ensure that where people lacked the capacity to make decisions they were protected. People were supported to maintain a healthy balanced diet and their healthcare needs had been met.

People were cared for by kind, caring and thoughtful staff who knew them well. They were treated respectfully and staff ensured that their privacy and dignity was always maintained. People expressed their views and opinions and were supported to follow their individual hobbies and interests where possible. The service provided people with advocacy contact should they need them.

People’s care and support needs had been fully assessed prior to admission to the service. There were care plans and risk assessments in place which had been developed to ensure that people were cared for in a way that suited them. The care plans provided staff with the information that they needed to meet individual’s needs and preferences and to care for them safely.

People were confident that their concerns or complaints would be listened to and acted upon. There was an effective system in place to assess and monitor the quality of the service and to drive improvements

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Further information is in the detailed findings below.

Inspection areas

Safe

Good

Updated 19 May 2017

The service was safe.

People were protected from the risk of harm. Staff had been safely recruited and there were sufficient suitable, skilled and qualified staff to meet people�s assessed needs.

Medication management was good and ensured that people received their medication as prescribed.

Effective

Requires improvement

Updated 19 May 2017

The service was not always effective.

Although people were cared for by staff who felt supported, improvements were needed in training to ensure that staff had up to date knowledge to care for people effectively.

The registered manager and staff had a good knowledge of the Mental Capacity Act (2005) and the Deprivation of Liberty Safeguards (DoLS) and had applied it appropriately.

People had sufficient food and drink and experienced positive outcomes regarding their healthcare needs.

Caring

Good

Updated 19 May 2017

The service was caring.

People were treated with dignity and respect by staff who knew them well and were kind, caring and compassionate in their approach.

People were involved in their care as much as they were able to be. Advocacy services were available if needed.

Responsive

Good

Updated 19 May 2017

The service was responsive.

The assessments and care plans were detailed and informative and they provided staff with sufficient information to meet people�s individual needs and preferences.

There was a clear complaints procedure in place and people were confident that their complaints would be dealt with appropriately.

Well-led

Good

Updated 19 May 2017

The service was well led.

People, their relatives and staff had confidence in the registered manager and shared their vision.

There was an effective quality assurance system in place to monitor the service and drive improvements.