The Depperhaugh

Updated 12 December 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014. This was a comprehensive inspection. The inspection took place on 29 October 2018 and was unannounced.

The inspection was carried out by two inspectors and an expert-by-experience. An expert-by-experience is a person who has personal experience of using or caring for someone who uses this type of care service. Our expert-by-experience had a background in adult social care.

Before the inspection we looked at information we held about the service including notifications they had made to us about important events. We also reviewed all other information sent to us from stakeholders for example the local authority and members of the public.

We used information the provider sent us in the Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.

During our inspection visit we spoke with the operations manager, the quality manager, the registered manager, the cook, one nurse and three care staff. We spoke with seven people living in the service and two relatives. We observed interactions between people and care staff. We reviewed three people's care records, policies and procedures and records relating to the management of the service, training records and the recruitment records of three care staff.

Updated 12 December 2018

The Depperhaugh is a residential care home with nursing for up to 30 older people some may be living with dementia and, or a physical disability. On the day of our inspection there were 27 people living in the service.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

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Why the service is rated Good.

People’s safety was promoted. There were procedures in place to recognise and respond to abuse. Staff knew how to follow these procedures. Risk assessments were carried out and risk management plans were in place which enabled people to receive care with minimum risk to themselves and others.

Where accidents and incidents occurred these were monitored in order to identify and react to any trends.

The staff recruitment process ensured that only those suitable to work in this type of environment were recruited. Appropriate recruitment checks were carried out before staff were employed. There were sufficient numbers of staff to meet people's needs. Staff received regular, relevant training as well as supervision and appraisal. This helped to ensure they had the skills and knowledge to support people effectively. Staff were caring and treated people with respect. They knew people well and understood how to meet their needs.

People knew how to make a complaint. Complaints were investigated and where deficiencies were found actions were put in place to address these.

Staff supported people to maintain their independence. People were supported to maintain relationships with their family and friends. This included the use of modern technology to both support communication and provide activities. People had the opportunity to participate in

organised activities and to go out on trips.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

There were appropriate arrangements in place to ensure that people received their medicines safely. People were supported with their nutrition and hydration needs and people who required support at mealtimes had the support they required. People were supported to maintain their health and had access to a variety of healthcare professionals.

The service was well-managed. The registered manager communicated effectively with staff and relatives. There were effective systems in place to regularly assess and monitor the quality of the service provided to people.

Further information is in the detailed findings below