10 September 2016
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 inspection took place on 9 August 2016 and was unannounced. The membership of the inspection team comprised 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.
When planning our inspection we looked at the information we held about the service. This included notifications received from the provider about deaths, accidents/incidents and safeguarding alerts which they are required to send us by law. Before the inspection, the provider completed a Provider Information Return (PIR). This is a form that asked the provider to give some key information about the service, what the services does well and improvements they plan to make. We also contacted the Local Authority commissioning service for any relevant information they may have to support our inspection and we looked at the Health Watch website, which also provides information on care homes.
We spoke with six people, two relatives, one visiting health care worker, three staff members and the registered manager. We looked at the care records of three people, three staff files as well as the medicine management processes, and records that were maintained by the provider about recruitment and staff training. We also looked at records relating to the management of the service and a selection of the service’s policies and procedures to check people received a quality service.
10 September 2016
This inspection took place on 9 August 2016 and was an unannounced comprehensive rating inspection. The location was last inspected in September 2015 and was rated ’Requires Improvement’.
Digby Manor is a registered care home providing accommodation and personal care for up to 26 people. At the time of our inspection 24 people were living at the home.
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. The Registered Manager had been in post since May 2016.
People were safe and secure. Relatives believed their family members were kept safe. Risks to people had been assessed and managed appropriately.
Staff had been recruited appropriately and had received relevant training so that they were able to support people with their individual needs.
People safely received their medicines as prescribed to them.
Staff sought people’s consent before providing care and support. Staff understood when the legal requirements of the Mental Capacity Act (2005) and the Deprivation of Liberty Safeguards (DoLS) should be followed.
People had a variety of food, drinks and snacks available throughout the day. They were able to choose the meals that they preferred to eat and meal times were flexible to meet people’s needs.
People were supported to stay healthy and had access to health care professionals as required. They were treated with kindness and compassion and there was positive communication and interaction between staff and the people living at the location.
People’s rights to privacy were upheld by staff that treated them with dignity and respect. People’s choices and independence were respected and promoted. Staff responded appropriately to people’s support needs.
People received care from staff that knew them well and benefitted from opportunities to take part in activities that they enjoyed.
The provider had management systems in place to audit, assess and monitor the quality of the service provided, to ensure that people were benefitting from a service that was continually developing.