Archived: Delph House Limited

Updated 18 November 2022

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by two inspectors.

Service and service type

Delph House is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Delph House is a care home currently registered to provide nursing care but are in the process of removing this from their registration. The CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service.

We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make.

We used all this information to plan our inspection.

During the inspection

We spoke with four people who used the service and two relatives about their experience of the care provided. We spoke with the owner, registered manager and nine members of staff including deputies, team leaders, care staff, housekeeping and the chef.

We reviewed a range of records. This included four people’s care records and medication records. We looked at two staff files in relation to recruitment and a variety of records relating to the management of the service.

We sought feedback from a district nursing team who had experience of the service.

Updated 18 November 2022

About the service

Delph House is a residential care home providing accommodation and personal care to older people. Delph House also is registered to provide nursing care, but this is in the process of being removed from their regulated activities. At the time of our inspection nursing care was not being provided and so not included in our report findings. Accommodation is provided in an adapted house situated in a residential area. Delph House is registered to provide accommodation for up to 39 people. At the time of our inspection 27 people were living at Delph House.

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

People told us they felt safe. People were cared for by staff who understood their role in identifying and reporting any safeguarding or poor practice issues. People had their risks assessed, monitored and reviewed and any actions needed to mitigate risk was understood and met by the staff team. People had their medicines administered safely. Staff were recruited safely with robust checks including references and criminal record checks. Staffing levels, experience and skills met the needs of people.

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; the policies and systems in the service supported this practice.

The culture of the home was open and honest with a clear focus on person centred care. Staff were clear about their roles and felt confident to share their views and opinions. Communication was effective at ensuring care was responsive and staff felt part of a team. Quality assurance processes were effective at driving improvements and meeting regulatory requirements. Partnerships with other organisations supported best practice and learning.

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 27 September 2017).

Why we inspected

This inspection was prompted by a review of the information we held about this service.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

The overall rating for the service has remained good based on the findings of this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Delph House on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.