We carried out a review of the data available to us about Dell Rose Court on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Dell Rose Court, you can give feedback on this service.
Dell Rose Court is an extra-care housing scheme that provides personal care and support to people living in their own flats. Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided. At the time of our visit, 27 people were receiving support with their personal care needs.
People’s experience of using this service and what we found
Since our last inspection, improvements had been made to the administration of people’s medicines. Systems were more robust and identified errors quickly, so they could be investigated and rectified. People had received their medicines when they needed them.
The provider and registered manager had robust systems in place to protect people from the risk of abuse and avoidable harm. Risks to people’s safety had been assessed and managed well. There were enough staff to provide people with the care they required. Contingency plans were in place to cover last minute staff absence and these were utilised when needed. When things had gone wrong, the provider, registered manager and staff learnt from this to improve the quality of care people received.
People had been fully involved in the development of their care and support and the care they received met their needs. Staff had received enough training and supervision to ensure people received good quality care. Where required, people received support to eat and drink enough to help maintain their health. Staff also supported people with their healthcare needs and ensured they had access to the appropriate professionals if needed.
People’s consent had been obtained in line with the relevant legislation. Staff had a good knowledge of how to support people if they were not able to consent to the care themselves. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests.
Staff were kind, caring and compassionate. They treated people with dignity and respect and valued their relationship with people. People felt listened to and able to express their views and opinions without fear. Staff encouraged people to be as independent as possible and supported them to participate in their hobbies and interests to enhance their wellbeing.
The provider and manager had instilled a person-centred culture within the service. People were respected and treated as individuals. Their opinions were valued and acted upon. Good leadership was in place. The staff were happy working at the service. The provider and registered manager demonstrated a drive to continually improve the quality of care people received. Good governance processes were in place to assist with this. Strong links with the community had been established and utilised to enhance people’s wellbeing and feelings of inclusion.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was Good (published 19 July 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
At our last inspection in July 2015, the overall rating for the service was Good. After this inspection, the overall rating remains Good.
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 received their oral medicines when they needed them. However, improvements are required to ensure that people received their prescribed creams correctly and staff referred people for a medicines review when appropriate.
The staff were kind, caring and compassionate. They treated people with dignity and respect. They knew the people they supported very well and ensured the care they provided was delivered how the person wanted to receive it.
The staff believed in the importance of enabling people to be as independent as they could be and in offering them choice. This belief had enabled them to support people to become more independent thus enhancing their lives and wellbeing.
People felt safe with the staff when they provided them with care and support. Systems were in place to protect people from the risk of abuse and avoidable harm. Staff knew how to reduce risks to people’s safety. However, they respected people’s choice to take informed risks if they wished to do so.
There were enough staff to meet people’s needs safely. They had received good training and supervision. This enabled them to provide people with safe and effective care.
Where people required it, staff supported them to eat and drink sufficient quantities and to maintain their health. They involved the relevant healthcare professionals when needed and followed their guidance for the benefit of people.
People’s consent was sought in line with the relevant legislation and they were encouraged and empowered to make decisions about their own care. People were involved in the running of the service.
There was an open and transparent culture at the service. People and staff could express their thoughts, feelings and concerns openly and without hesitation. The registered manager listened to these and took steps to rectify any concerns that people had.
There was good leadership in place. The staff understood their roles and received good direction and support. They were made to feel valued and this enhanced their morale. The staff worked well as a team to provide care to people in the way they wanted to receive it. The registered manager had instilled a culture amongst the staff of treating people as individuals.
This was an announced inspection that took place on 21 July 2015.
Dell Rose Court is a ‘housing with care’ service that provides people with personal care in their own homes. The service is split into different living areas, one of which is for people living with dementia. At the time of the inspection, 47 people were receiving care.
There was a registered manager at the service. 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 who used the service felt safe and the majority were very happy. There were systems in place to reduce the risk of people experiencing harm and to keep them safe.
Where staff gave people their medicines, these were received when they needed them.
People were treated as individuals, listened to and their choices and opinions about how they wanted to spend their daily lives were respected. People were encouraged and supported to assist with the development of the service and to be involved in projects within the local community to enhance their well-being.
The staff were well trained and were kind, caring and compassionate. They knew what to do in an emergency situation and acted quickly when people became unwell. Staff asked for people’s consent and where the person was unable to provide this consent, they worked within the law to ensure these people’s rights were respected. They respected people and treated them with dignity and there were enough of them to provide assistance to people when they needed it.
People’s care needs and preferences about how they wished to live their life had been fully assessed and were being met.
The registered manager had promoted a culture where the person was seen as an individual. People and staff felt able to raise concerns without any fear of recrimination. Staff were happy in their job and felt valued. The registered manager demonstrated good leadership.
Systems were in place to make sure that the care being provided was of good quality. The registered manager was pro-active in trying to improve the quality of care that was being provided to people.
The people spoken with confirmed that staff understood their needs well and that if they had any issues or any concerns, staff would address these. This demonstrated to us that individual care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare.
The care and treatment records seen showed us that the provider worked closely with other local health and social care services. This showed us that people received the required levels of care and support because the provider worked in co-operation with others.
Staff told us that they were up to date with their mandatory training and had been supported to attend additional training opportunities so that they could meet the care and treatment needs of the people living in this complex. This meant that people were cared for by staff who were supported to deliver care and treatment safely and to an appropriate standard.
Records were seen that showed us that on-going monitoring and assessment of the quality of the services being provided took place. This meant that the provider had an effective system to regularly assess and monitor the quality of service that people received.
We did not see people being kept waiting for assistance and saw that there were sufficient numbers of staff on duty to ensure that their individual support or care needs were being met. This showed us that there were enough qualified, skilled and experienced staff to meet people's needs. People told us that they were aware of how to make any concerns that they may have had known to staff. For example one person told us that, 'If I have any concerns the staff will help me get it sorted.' This showed us that there was an effective complaints system available and that comments and complaints people made were responded to appropriately. People's care records were accurate and fit for purpose. This demonstrated to us that people were protected from the risks of unsafe or inappropriate care and treatment because accurate and appropriate records were maintained.
People stated they were very happy with the accommodation they live in. One of the people told us: 'You could not wish for anything better. They (staff) respond straight away when we call them. We can either use pendants or use the call bell to call them.' We noted that all people we saw had pendants with them all the time, allowing them to call staff whenever they felt there was a need.
One person we spoke with explained that they were very confident that 'staff know what they are doing,' and another person confirmed that staff were very good. People told us that staff had appropriate skills and knowledge to respond to people's needs.
People told us that staff helped them with care according to their agreed care plans. We saw care plans in each room and one person commented that they 'could see care plans and notes whenever we want.' Both people confirmed that they were regularly consulted and asked about their care plan.
All people with whom we spoke stated that they felt safe, well protected and very comfortable in this supportive environment.
All comments that people provided in the last survey were positive and a number of questions scored 100% satisfaction with the service.