Background to this inspection
Updated
24 October 2019
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 Care Act 2014.
Inspection team
Two inspectors carried out the inspection.
Service and service type
Derwent View is a 'care home'. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care
provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We reviewed information we had received from the service since our last inspection. We sought feedback from the local authority who work with the service. We received positive responses from them. We used all of this information to plan our inspection.
During the inspection
We spoke with one person using the service and spent time with others who were in the home when we visited. We observed staff interactions with people. We spoke with four relatives by telephone. We spoke with the registered manager, nominated individual, senior team leader, visiting manager from another of the provider’s homes, and two support workers. We reviewed a range of records including staffing, care plans, and quality audits.
Updated
24 October 2019
About the service
Derwent View provides residential care for up to 19 people diagnosed with learning disabilities and/or autism spectrum disorders. People are accommodated in three bungalows, one of which has a self-contained one-bedroomed flat attached. At the time of our inspection there were 16 people using the service.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and or autism to live meaningful lives that include control, choice, and independence. People using the service received planned and co-ordinated person-centred support that was appropriate and inclusive for them.
The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.
People’s experience of using this service and what we found
Derwent View’s positive culture enabled people to achieve their potential and integrate into the community. A relative said, “I can’t believe what they have achieved with [person], things I never thought possible.” A social care professional said the change in a person they placed at the home ‘was just remarkable’. Staff valued people and accepted and celebrated their life choices.
Staff were exceptionally caring and supportive. A relative said, “The place is full of love and affection. [Person] has the life we’ve always wanted for them.” People had excellent trusting relationships with the staff. A relative said, “The staff are there to keep people happy. They are always calm and always in good spirits. It’s a lovely place to visit.”
The registered manager provided outstanding leadership and support to staff, people and relatives. They ran the home efficiently, meeting all their regulatory responsibilities. A relative said, "If I could clone the home I would, it’s an amazing place. Nothing’s too much trouble for the [registered] manager and if something needs doing it’s done straight away.”
People were safe at the home and the staff knew how to protect them from harm. A relative said, “I can sleep at night knowing [person] is in the safest place possible.” The home was well-staffed, and people had one-to-one and two-to-one staffing when they needed it. People had their medicines when they needed them. The home was purpose built, spacious and accessible, and clean and tidy throughout.
People were assessed before coming to the home to ensure it was suitable for them. The staff team was established, experienced, and well-trained. People had a varied diet of their choosing. Staff ensured people’s healthcare needs were met.
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.
People had personalised care plans which were continually reviewed and updated as people’s needs changed. People’s took part in a wide range of individual and group activities both in the home and in the wider community. A relative said, “[Person] does all the things they could never do at home. [Person] is so active.”
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 (based on an inspection on 08 November 2016).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.