Dalkeith

Updated 3 January 2020

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. 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.

Inspection team:

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.

Updated 3 January 2020

About the service:

Dalkeith is a care home that provides personal and nursing care for up to 20 older people. The service is provided in accommodation over three floors. At the time of the inspection, 20 people were living at the home.

What life is like for people using this service:

People who used the service and relatives spoke positively and told us they felt safe in the home.

Staff were safely recruited and had received sufficient training to carry out their roles. They demonstrated a good understanding of safeguarding and whistle-blowing and knew how to report concerns.

People’s dietary needs were assessed, they were offered choices, and actions were taken when people lost weight, or their nutritional needs changed.

People were supported to access a range of health care services and regular visits were undertaken by the GP and the practice nurse. Healthcare professionals told us they worked well with the care home team who responded positively to advice, support and guidance.

People received care that was kind, thoughtful and respectful. Staff enjoyed working at Dalkeith and spoke positively of the relationships they had with people who used the service, their relatives and with colleagues.

Care records were personalised and reflected that people were involved in their care and care planning.

A range of quality monitoring checks were completed and when shortfalls were identified, actions were taken as required.

People and relatives were asked for feedback and knew how to complain.

The service met the characteristics of Good in each of the key questions, Safe, Effective, Caring Responsive and Well-led. Therefore, our overall rating for the service after this inspection has remained Good.

For more details, please see the full report which is on the CQC website at www.cqc.ork.uk

Rating at last inspection:

Good (report published in June 2017).

Why we inspected:

This inspection was part of our scheduled plan of visiting services to check the safety and quality of care people receive.

Follow up:

We will monitor information received about the service to inform the assessment of the risk profile of the service and to ensure the next planned inspection is scheduled accordingly.