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Inspection Summary


Overall summary & rating

Good

Updated 27 September 2017

Delph House provides accommodation, nursing and personal care for up to 39 people. At the time of this inspection there were 26 people living at the home.

This was an unannounced comprehensive inspection carried out by two inspectors on 3 August 2017, with an Expert by Experience and a Specialist Advisor. This was first inspection of this location since a change of provider and registration in November 2016.

There was a registered manager employed at the home at the time of the inspection, although they were absent on the day of the inspection. 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.

Overall, people were satisfied with the nursing and care provided at Delph House.

People felt safe and there were systems in place make sure that the environment and way people were looked after were also safe.

Staff had been trained in safeguarding adults and were knowledgeable in this field.

Risk assessments had been completed to make sure that care and nursing was delivered safely with action taken to minimise identified hazards.

The premises had also been risk assessed to make sure that hazards to people living at the home minimised.

Accidents and incidents were monitored to look for any trends where action could be taken to reduce the chance of such accidents recurring.

There were sufficient staff employed at the home to meet the needs of people accommodated.

There were recruitment systems in place to make sure that suitable, qualified staff were employed at the home.

Medicines were ordered, stored, administered and disposed of safely. Overall, there was good management of people’s medicines ensuring people had medicines as prescribed by their doctor. We recommend the provider puts a system in place that ensures the date creams are opened be recorded.

The staff team were knowledgeable and well trained and there were induction systems in place for any new staff.

Staff were well-supported through supervision sessions with a line manager and an annual performance review.

Staff and the registered manager were aware of the requirements of the Mental Capacity Act 2005 and acted in people’s best interest where people lacked capacity to consent. The home was compliant with the Deprivation of Liberty Safeguards with appropriate referrals being made to the local authority.

People were provided with a good standard of food, appropriate to their needs.

Relatives, staff and people were very positive about the standards of care provided at Delph House. People were treated compassionately as individuals with staff knowing people’s needs.

People’s care and nursing needs had been thoroughly assessed and care plans put in place to inform staff of how to care for people. The plans were person centred and covered people’s needs. The plans we looked at in depth were up to date and accurate.

There was good evidence of the staff and registered manager taking action when people’s needs changed or responding to newly assessed needs.

Communal and individual activities were organised with people to keep them occupied.

There were complaint systems in place and people were aware of how to make a complaint.

Should people need to transfer to another service, systems were in place to make sure that important information would be passed on.

The home was well-led. There was a very positive, open culture with staff proud of how they supported people.

There were systems in place to audit and monitor the quality of service provided to people.

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Inspection areas

Safe

Good

Updated 27 September 2017

The service was safe.

There were systems in place to make sure people were both cared for and nursed safely.

Staffing levels were pitched at a level that allowed for people’s needs to be well met.

Medicines were managed safely making sure people were administered medicines as prescribed by their doctor.

Effective

Good

Updated 27 September 2017

The service was effective.

The staff team were knowledgeable and well trained.

People’s consent was sought about how they were cared for and the home was compliant with the requirements of the Mental Capacity Act 2005.

People enjoyed a good standard of food that was appropriate to their needs.

Caring

Good

Updated 27 September 2017

The service was caring.

There was a staff team who demonstrated compassion and a commitment to providing good care to people.

People’s privacy and independence was respected.

Responsive

Good

Updated 27 September 2017

The service was responsive.

People’s care and nursing needs had been assessed.

Individual care plans had been developed for people that were accurate and up to date.

Activities were arranged to keep people occupied and to develop interests and hobbies.

There was a complaints procedure in place and people felt confident their complaints would be listened to.

Well-led

Good

Updated 27 September 2017

The service was well-led.

The home was well led and managed with an open and transparent culture.

People’s and relative’s views were sought about the quality of service provided.

There were systems in place to monitor and audit the quality of service provided.