22 February 2019
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.
This was a comprehensive inspection. It took place on 28 January 2019, and was unannounced.
One inspector, and a Gujerati and Punjabi interpreter carried out this inspection. This was because Diwali Nivas is a service for older Asian people. Before our inspection visit we contacted the local authority. We also looked at information we had received from people who shared their experience; and from notifications of events we had received from the provider.
We looked at the Provider Information Return (PIR). This is information we ask the provider to send to us at least annually to tell us about what the service does well and any improvements they plan to make. This information helped us to plan our inspection.
During our inspection visit we spoke with the registered manager, the care manager, kitchen staff, the maintenance worker and two care staff. We also spoke with six people, and three visiting relatives and friends. We checked two people’s care records, and a sample of medication records, health and safety records and quality assurance records.
22 February 2019
This inspection visit took place on 28 January 2019.
Diwali Nivas is a 'care home' for a maximum of 21 people. 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. Twenty-one people lived at the home at the time of our inspection visit.
Diwali Nivas is a care home for older Asian people who may have a mental health condition or live with dementia. People who live at the home are vegetarian.
The home is an extended residential property close to the centre of Leicester. It is within walking distance of places of worship and local shops which serve the Asian community.
At our last inspection we rated the service as ‘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 risks or concerns.
The service continued to be safe. There were enough staff on duty to meet people’s needs; and staff recruitment checks reduced the risk of the service employing unsuitable staff. Staff understood how to safeguard people from harm and knew the risks related to people’s health and wellbeing. People received their medicines as prescribed. The home was clean and tidy and staff understood infection control practice. Premises were well-maintained.
The service continued to be effective. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The principles of the Mental Capacity Act (MCA) were followed. The policies and systems in the service support this practice. Staff received training to support them work effectively with people who lived at the home. People had access to different health and social care professionals when required, and good relationships had been formed between the service and those professionals. People received food which was culturally appropriate, which they enjoyed, and choices with each meal.
The service continued to be caring. People received care from staff who were kind, treated them with dignity and respected their privacy. Staff had developed positive relationships with the people they supported, they understood people’s needs, preferences, and what was important to them. The service supported people to maintain relationships with their family and friends.
The service continued to be responsive. People’s needs were assessed and staff ensured their needs were met. The service was responsive to people's religious and cultural needs, and provided daily activities to support emotional wellbeing. The small number of complaints had been responded to well. The service ensured people’s end of life care needs were met.
The service continued to be well-led. The registered manager and care manager provided good support to the staff group, and to people who lived at the home. Checks were made to ensure the service met its obligations to provide safe accommodation to people and to deliver care and support which met people’s individual needs.
Further information is in the detailed findings below.