You are here

The provider of this service changed - see old profile

We are carrying out a review of quality at Darsdale Home. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Requires improvement

Updated 19 October 2019

About the service

Darsdale is a care home service, it provides personal care to older people, people with mental health conditions, physical disability, dementia and learning disabilities or autistic spectrum disorder. At the time of the inspection there were 27 people using the service. The service can support up to 30 people.

Darsdale provides accommodation across 2 floors, with a lift to the second floor. People with higher dependency needs are accommodated on the ground floor. There is an enclosed courtyard and communal gardens.

People’s experience of using this service and what we found

People told us they were happy with their care and the home had a good atmosphere. Staff did not consistently agree with some staff feeling unsupported and not respected by the provider. The provider had not maintained enough oversight of the service to ensure people were receiving high quality person centred care that met their needs and kept them safe. We found safety concerns with the environment including fire and falls risks that the providers internal systems and processes had not identified prior to the inspection.

People's choices, lifestyle, religion and culture as well as their personal and health care needs were planned into care delivery. Further development was required of care and support for people with sight and hearing impairments or Dementia to ensure their communication and social needs were being met. We have made a recommendation around ensuring individualised activities that meet people’s needs are made available.

Some areas of the home required more attention to detail around cleaning. Staff used gloves and aprons when providing personal care and washed their hands to prevent the spread of infection.

People and staff told us there were not enough staff. People reported delays in the answering of their call bells and staff being rushed. Staff told us they did not always have time to chat with people and they were multitasking following cuts in hours in other departments.

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. However, further work was required to ensure people’s mental capacity assessment records reflected decisions they could and could not make for themselves and best interest meeting decisions needed to be recorded.

Safe recruitment checks were in place to ensure only suitable staff were employed. People told us they felt safe. Individualised risk assessments were in place and reviewed regularly to mitigate risk. Staff had received training and could recognise signs of abuse and knew when and how to report it. Medicines were managed, stored and disposed of safely.

People were supported to access health care services when needed, the care staff and management team worked in partnership with other professionals. Staff had been trained and had the skills needed to do their job. Pre-admission assessments took place to ensure the service could meet people's needs prior to care starting. A complaints procedure was in place and people told us they felt listened to if they made a complaint.

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 requires improvement (published 7 September 2018) and there was a breach of regulation. The service remains rated requires improvement. This service has been rated requires improvement for the last three consecutive inspections. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection enough improvement had not been sustained and the provider was still in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We have identified breaches in relation to the providers oversight of the safety of the environme

Inspection areas

Safe

Requires improvement

Updated 19 October 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 19 October 2019

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 19 October 2019

The service was caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 19 October 2019

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 19 October 2019

The service was not always well-led.

Details are in our well-led findings below.