Delrose House

Updated 13 December 2023

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.

Inspection team

The inspection was carried out by 1 inspector.

Service and service type

Delrose 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. Delrose House is a care home without nursing care. 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

We gave the service 1 hour notice of the inspection. This was because we needed to be sure that the registered manager would be in to support the inspection.

What we did before inspection

We reviewed information we had received about the service since the last inspection. 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 looked at notifications we had received from the service. A notification is information about important events, which the provider is required to tell us about by law. We used all this information to plan our inspection.

During our inspection

We spoke with 3 people who used the service, 1 member of staff, the registered manager, the deputy manager, the nominated individual and the deputy manager from the sister service. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We reviewed a range of records. This included 3 people’s care records, 3 staff files, risk assessments and medicine administration records. We also looked at audits and a variety of records relating to the management of the service, including policies and procedures.

We were able to get limited views from people due to their needs. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not speak with us. People were relaxed in the presence of staff and had built up good relationships with them.

Updated 13 December 2023

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

About the service

Delrose House is a 6 bedded service for people with mental health needs, physical disabilities, learning disabilities or dementia. At the time of our inspection, there were 6 people using the service.

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

Right support

People and staff told us that the service was good and that they could speak with the registered manager as and when they wanted. There were enough staff to meet people’s care and support needs. People were protected by appropriate recruitment processes. A system was in place to record accidents and incidents. There were policies and procedures regarding the prevention and control of infection. The registered manager had links with the wider community in order to help ensure a joined-up approach to people's support.

Right care

People received personalised care that was responsive to their needs. Potential risks about people’s safety were assessed to ensure they were supported to remain as safe as possible. Staff were clear about their roles and responsibilities and had access to policies and procedures to inform and guide them. 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.

Right culture

There was an open culture within the service, which was focussed on people. The registered manager was approachable and worked with the staff to ensure people were supported appropriately. There were systems in place to monitor the service and address any areas of improvement where needed. People were safeguarded from abuse or harm and staff understood how to keep people safe and report any concerns they had.

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 on 13 April 2018).

Why we inspected

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

We undertook a focused inspection to review the key questions of safe and well-led only. For those key question not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

You can read the report from our last comprehensive inspection by selecting the ‘all reports’ link for Delrose 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.