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Archived: Delaware House Good

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Reports


Inspection carried out on 27 March 2017

During a routine inspection

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 carried out on 4 and 14 August 2015

During a routine inspection

This inspection took place on 4 and 14 August 2015.

Delaware House is registered to provide accommodation and care for up to 24 people some of whom may be living with dementia and/or mental health needs. There were 20 people living in the service on the day 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.

People were relaxed and happy in staff’s company and said they felt safe. Staff had a good understanding of how to protect people from the risk of harm. They had been trained and had access to guidance and information to support them with the process. Other risks to people’s health and safety had been assessed and the service had risk assessments and management plans in place to ensure people were cared for safely.

There were sufficient staff with the necessary skills and knowledge to meet people’s assessed needs. They had been safely recruited to ensure they were fit to work with people and had been appropriately trained and supported.

People received their medication as prescribed and there were safe systems in place for receiving, administering and disposing of medicines.

The manager and staff had a good understanding of the Mental Capacity Act (MCA) 2005 and Deprivation of Liberty Safeguards (DoLS) and had made applications appropriately when needed. DoLS are a code of practice to supplement the main Mental Capacity Act 2005. These safeguards protect the rights of adults by ensuring that if there are restrictions on their freedom and liberty these are assessed by appropriately trained professionals.

People were supported to have sufficient amounts of food and drink to meet their needs. People’s care needs had been assessed and catered for. The support plans provided staff with sufficient information about how to meet people’s individual needs and preferences and how to care for them safely. The service monitored people’s healthcare needs and sought advice and guidance from healthcare professionals when needed.

Staff were kind and caring and treated people respectfully. Families and friends were made to feel welcome and people were able to receive their visitors at a time of their choosing. People had access to advocacy services should they need them. Staff ensured that people’s privacy and dignity was maintained at all times.

There was an effective system in place to deal with any complaints or concerns and people were confident that any concerns 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.

Inspection carried out on 22 January 2014

During a routine inspection

We found that people were treated with dignity and respect and that they had been fully involved in their care. They had been fully assessed and their care plans were person centred and reflected their individuality, choice and preferences.

We saw that people had received a safe and coordinated service. Their personal information had been shared in a confidential manner.

We found that the service had good infection control practices. Staff followed the Code of Practice for health and adult social care on the prevention and control of infections and related guidance. People�s health, safety and welfare needs were met because there were sufficient numbers of qualified, skilled and experienced staff.

We found that people�s concerns, complaints and comments were listened to and acted upon. We received many positive comments about the service such as, �I get excellent care here, it is first class and the girls (staff) are lovely and the food is very good. It is better than a restaurant, you always get a choice. If I don�t want the meal, I can always have something else. They will make it especially for me.�

One relative had written, �Your staff are very special people, the kindness and care shown by everyone shows how special they are.� �There is an air of warmth and kindness evident in Delaware House that makes it unique.�

People received safe, effective and compassionate care from a well led service that responded quickly to their changing needs.

Inspection carried out on 30 January 2013

During a routine inspection

People�s diversity, values and human rights were respected. All of the compliance and improvement actions made at our last inspection had been met.

People appeared relaxed and happy in staff�s company. Staff treated people in a respectful and dignified manner. Relatives of people who use the service told us that the staff were kind and caring and that they provided an excellent service. People told us that the environment had improved recently. One relative said, �The home now has lots more things for people to look at such as pictures and signs on walls and doors.�

Staff told us that they felt supported to do their work, however we found that some staff had not received supervision as agreed in their supervision contract.

The home had good quality assurance processes in place which included regular audits of its systems and practices. The provider had carried out regular monthly monitoring visits and had prepared a report of their findings. Actions had been carried out as required in the report.

Record keeping was good and staff had been trained in the Data Protection Act 1998. Staff and management had a good understanding of the Act.

Inspection carried out on 10 November 2011

During a routine inspection

People living at Delaware had a wide range of needs. Some people had varying levels of dementia and different communication needs. We were therefore unable to fully understand everybody�s specific issues.

We met with some people who were confused as to time, person and place. They were relaxed and smiling, and happy to converse with us about where they felt they were and who they were with.

Reports under our old system of regulation (including those from before CQC was created)