Archived: Delph House Limited

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.

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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