Updated 15 February 2024
Deepdene Court is a residential care home providing personal and nursing care to up to 35 people. The service provides support to people with a range of mental health needs, including complex and enduring conditions or addictive behaviours such as substance misuse. At the time of our inspection there were 32 people using the service. We carried out our on-site assessment on 18 January 2024, off-site assessment activity started on 19 January 2024 and ended on 25 January 2024. We looked at 8 quality statements; safeguarding; involving people to manage risks; safe environments; safe and effective staffing; shared direction and culture; capable, compassionate and inclusive leaders; freedom to speak up; and governance, management and sustainability. At the last inspection undertaken on 29 June 2023, the provider was in breach of Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, Safe care and treatment. At this assessment, there were improvements in managing environmental risks at the service. However, there remained breaches of regulation due to failures in managing risks to people and lack of suitable staffing. At the last inspection undertaken on 29 June 2023, the provider was in breach of Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, Good Governance. At this assessment there had been a failure to make improvements and there remained a breach of regulations due to shortfalls in the management and governance of the service. There was also a breach of Regulation19 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, Fit and proper persons employed, due to failures in recruitment systems.