Updated 3 January 2020The 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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
One inspector carried out the inspection.
Service and service type:
Dalkeith is a care home that provides personal care to older people, some of whom are living with dementia. 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. The registered manager was also the provider of the service. They will be referred to in this report as the registered manager. They are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection:
The inspection was unannounced, so the registered manager and staff team did not know we would be visiting.
What we did:
Before the inspection we reviewed information we held about the service and the service provider. The registered manager completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We also looked at the notifications we had received for this service. Notifications are information about important events the service is required to send us by law.
During the inspection we spoke with eight people who lived in the home and two relatives. We observed how people were being cared for. We spoke with the registered manager, home manager, deputy manager and six staff. This included catering staff, maintenance staff, housekeeping and care staff.
We reviewed records that included three care plans and medicines records. We checked staff recruitment, supervision and training records. We looked at records relating to the management and monitoring of the service. These included audits, quality assurance surveys, minutes of meetings and maintenance checks.
We received feedback from two health care professionals and obtained their views about the service. Their views have been incorporated into the report.