Delrose

Ratings

• Overall

  Requires improvement

• Safe

  Requires improvement

• Effective

  Requires improvement

• Caring

  Requires improvement

• Responsive

  Requires improvement

• Well-led

  Requires improvement

Our view of the service

This assessment took place between 25 June and 17 July 2024. We carried out site visits to the service on 25 and 28 June 2024. We made 2 separate site visits on 2 July 2024, firstly during the daytime and then later that evening. Delrose is a residential care home providing care to people with a learning disability and autistic people. We assessed quality statements in parts of the key questions of safe, caring and well led. For the quality statements we did not assess, we used the ratings awarded at the last inspection (published 2 December 2023) to calculate the overall rating. At our last inspection, the overall rating for the service was requires improvement. At this assessment, the service remains requires improvement. ‘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. We found Delrose were not meeting the principles of right support, right care, right culture. Right support- the care home was a suitable environment to meet people’s needs. However, people were not able to move around all areas of the service freely. The provider did not demonstrate how imposed restrictions were always the least restrictive option. Right care- The provider needed to make improvements to the training and support staff received in their role to help develop a more consistent approach when supporting people. Some staff had a good understanding of people’s needs and were motivated in their role. However, this was not consistent as some staff’s communication and engagement with people could have been more effective. Right culture – There had been inconsistent leadership at the service, which contributed to failures in the quality of care and inability to make and sustain improvements.

People's experience of this service

People were unable to give us verbal feedback about their care. Therefore, where appropriate, we spoke to 5 relatives about their family member’s experiences of receiving support and care. We also spoke to an advocate, who had recent experience working with 2 people living at the service. Relatives were concerned about the quality of care their family members received. They told us the service lacked consistent, strong and effective management, which had a negative effect on the overall quality and safety of the service. They felt there was a variable quality in staff, with some staff having a good understanding of people’s needs, whilst other staff lacked the training, skills and motivation to work with their family members. Relative’s raised concerns about the safety of the service and felt that incidents were not always responded to pro-actively or effectively. Relative’s felt more work was needed to ensure people had access to activities and supported to live full and active lives. They told us that improvements were needed around communication to help ensure there was a more coordinated approach between families and staff when planning and reviewing care.