Archived: Derbyshire Haven

Updated 13 April 2015

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service and to provide a rating for the service under the Care Act 2014.

We visited the service on 4 March 2015, this was an unannounced inspection. The inspection team consisted of one inspector and an expert by experience. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Prior to our inspection we reviewed information we held about the service. This included previous inspection reports, information received and statutory notifications. A notification is information about important events which the provider is required to send us by law. Before the inspection, the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.

During our inspection we spoke with eight people who used the service, seven visitors, three members of care staff, the cook, the manager and a representative of the provider. We observed the way in which staff supported people in the communal areas of the home. We looked at the care plans of three people and any associated daily records. We looked at three staff files as well as a range of other records relating to the running of the service, such as audits, maintenance records and four medication administration records.

Updated 13 April 2015

This inspection took place on 4 March 2015 and was unannounced. Derbyshire Haven provides accommodation and personal care for up to 12 people with or without dementia and people with physical health needs. On the day of our inspection 12 people were using the service. The service is provided across two floors with a passenger lift connecting the two floors.

The service had a registered manager. 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.

At our last inspection in August 2013 we found that the provider was not meeting the legal requirements in respect of management of medicines, staffing levels and records. The provider sent an action plan stating what they would do to become compliant. During this inspection we found that the provider had made the required improvements. People received their medicines as prescribed and were cared for by sufficient numbers of staff. Records relating to people and staff were accurate and up to date.

People told us they felt safe living at the care home and were cared for by staff who knew how to protect them from the risk of abuse. People were supported by a sufficient number of staff and the provider ensured appropriate checks were carried out on staff before they started work. People received their medicines as prescribed and they were safely stored and properly recorded.

Staff had the knowledge and skills to care for people effectively and were fully supported by the manager. People were asked for their consent before care was provided. The Mental Capacity Act (2005) (MCA) was being used correctly to protect people when there were doubts about their capacity to make their own decisions about the care they received.

People received support from health care professionals such as their GP and district nurse when needed. Staff took on board the guidance provided by healthcare professionals in order to support people to maintain good health. People had access to sufficient quantities of food and drink.

Positive and caring relationships had been developed between people and staff. People were fully involved in the planning and reviewing of their care and made day to day decisions. People were treated with dignity and respect by staff and supported to maintain their independence.

People received care that was responsive to their needs and staff had up to date knowledge about the support people required. People felt able to complain and knew how to do so. The complaints procedure was displayed and regularly discussed with people.

There was a positive, open and transparent culture in the home. People who used the service and staff felt able to raise any issues with the manager and they were dealt with. There were different ways people could provide feedback about the service which people were made aware of. There were effective systems in place to monitor the quality of the service. These resulted in improvements being made to the service where required.