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Inspection carried out on 7 March 2018

During a routine inspection

This inspection took place on 7 March 2018 and was unannounced. This meant the staff and the provider did not know we would be visiting.

Divine Care Centre is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Divine Care Centre accommodates 44 people with residential and nursing care needs across two floors. On the day of our inspection there were 35 people using the service. Facilities included en-suite bedrooms, several lounges, dining rooms and kitchenettes, communal bathrooms, shower rooms and toilets, a hairdressing room, a prayer room and communal gardens.

The home had a registered manager in place. A registered manager is a person who has registered with CQC 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.

Divine Care Centre was last inspected by CQC on 17 November 2015 and was rated Good. At this inspection we found the evidence continued to support the rating of ‘Good’ and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risk or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

The home was clean, spacious and suitable for the people who used the service. The provider had procedures in place for managing the maintenance of the premises and appropriate health and safety checks had been carried out.

Accidents and incidents were appropriately recorded and risk assessments were in place. The registered manager understood their responsibilities with regard to safeguarding and staff had been trained in safeguarding vulnerable adults.

Medicines were managed safely and administered to people in a safe and caring way. We saw that people received their medicines at the correct times.

The provider had an effective recruitment and selection procedure in place and carried out relevant checks when they employed staff. There were sufficient numbers of staff on duty in order to meet the needs of people who used the service.

Staff were supported to provide care to people who used the service through a range of mandatory and specialised training, supervision and appraisal. Staff said they felt supported by the registered manager.

People who used the service and their relatives were complimentary about the standard of care at Divine Care Centre.

People told us staff treated them with dignity and respect and helped to maintain their independence by encouraging them to care for themselves where possible.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible.

Care records showed people’s needs were assessed before they started using the service and care plans were written in a person-centred way and were reviewed regularly. Person-centred is about ensuring the person is at the centre of any care or support and their individual wishes, needs and choices are taken into account.

People were protected from the risk of poor nutrition and staff were aware of people’s nutritional needs.

People had access to healthcare services and received ongoing healthcare support.

Activities were arranged for people who used the service based on their likes and interests and to help meet their social needs, in the home and within the local community.

The provider had an effective complaints procedure in place and people who used the service and their relatives were aware of how to make a complaint.

The provider had an effective quality assurance process in place. People who used the service, relatives an

Inspection carried out on 17 November 2015

During a routine inspection

This inspection took place on 17 November 2015 and was unannounced. This meant the staff and the provider did not know we would be visiting. The home had a registered manager in place. A registered manager is a person who has registered with CQC 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.

The Divine Care Centre was last inspected by CQC on 13 January 2015 and was compliant with the regulations in force at the time.

The Divine Care Centre is situated in the village of Station Town, Wingate. The home is set in its own grounds, in a quiet residential area. The home provides accommodation with personal care and nursing, including intermediate and respite care, for up to 36 older people and people with a dementia type illness. On the day of our inspection there were 16 people using the service. The home comprised of 36 bedrooms, all of which were en-suite. Facilities included several lounges, dining rooms and kitchenettes, a hair salon and a prayer room.

People who used the service and their relatives were complimentary about the standard of care at the Divine Care Centre. We saw staff supported and helped to maintain people’s independence. People were encouraged to care for themselves where possible. Staff treated people with dignity and respect.

The registered provider had an effective recruitment and selection procedure in place and carried out relevant checks when they employed staff. There were sufficient numbers of staff on duty in order to meet the needs of people using the service.

Training records were up to date and staff had regular supervision meetings and appraisals, which meant that staff were properly supported to provide care to people who used the service.

The layout of the building provided adequate space for people with walking aids or wheelchairs to mobilise safely around the home.

The service was working within the principles of the Mental Capacity Act 2005 and any conditions on authorisations to deprive a person of their liberty were being met.

We saw mental capacity assessments had been completed for people and best interest decisions made for their care and treatment. Care records contained evidence of consent.

People were protected against the risks associated with the unsafe use and management of medicines.

People had access to food and drink throughout the day and we saw staff supported people to eat at meal times when required.

People who used the service had access to a range of activities in the home.

All the care records we looked at showed people’s needs were assessed. Care plans and risk assessments were in place when required and daily records were up to date. Care plans were written in a person centred way and were reviewed regularly.

We saw staff used a range of assessment tools and kept clear records about how care was to be delivered and people who used the service had access to healthcare services and received ongoing healthcare support.

The registered provider had a complaints policy and procedure in place and complaints were fully investigated.

The registered provider had a quality assurance system in place and gathered information about the quality of their service from a variety of sources.

Inspection carried out on 13 January 2015

During a routine inspection

We inspected this service on 13 January 2015 and the inspection was unannounced. We have not given this service a rating. This is because, at the time of our inspection the home had recently opened and there were only eight people using the service.

The home is registered to provide nursing and personal care for up to 36 people. The newly refurbished home is set over two floors in the Wingate area of County Durham. The home is independently run with a registered manager in place.

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.

Care plans we looked at contained information which related to people’s needs and the level of support they required. Risk assessments were completed to work in conjunction with the care plans to keep people safe and maintain their independence.

Robust recruitment and selection processes were in place and pre-employment checks had been carried out to ensure people who used the service were cared for safely.

The service had an appropriate medication policy in place and staff were trained in the administration, storing and disposal of medicines. Regular checks were carried out to ensure that medicines were in date and correctly stored and administered.

Staff working in the home received regular supervisions and comprehensive records of discussions were held in personnel files. Additional supervisions were carried out if there was a concern about their ability to carry out a particular task.

People who used the service received care and support that was person centred and individual to their needs. Care plans were reviewed regularly with changes being made when needed.

The registered manager and staff understood their responsibilities under the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards (DoLS). Medicines were regularly reviewed and checks were carried out to ensure that people did not suffer any adverse effects. Changes to care were accurately recorded to take account of people’s changing needs.

There was a formal complaints procedure in place and people who used the service were given information on how to raise a complaint if they wished.

Advocacy services were available and information was displayed on a notice board for people to view.

There was a quality assurance system in place which was used to ensure people received the best care possible.

Everybody who used the service and the staff working in the home said the registered manager was approachable and led by example.