Background to this inspection
Updated
14 August 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
The inspection team consisted of an inspector, a specialist advisor who was a nurse 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.
Service and service type
Dalby Court Residential Care Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a 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 CQC. The registered manager 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 inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. 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 used all of this information to plan our inspection.
During the inspection
We spoke with ten people who used the service and five relatives. We also spoke with the registered manager, deputy manager, regional manager, activities co-ordinator and four care staff.
We looked at a selection of records. This included four people's care records and seven people’s medicine records, three staff recruitment records and other records related to the building, and the management of the service.
After the inspection
We continued to seek clarification from the management team to validate evidence found. We looked at training data, surveys and a variety of policies and procedures.
Updated
14 August 2019
About the service
Dalby Court Residential Care Home is a care home which provides care for up to 68 people. The service does not provide nursing care. Care is primarily provided to older people, some of whom are living with a dementia. At the time of the inspection there were 41 people using the service.
The service accommodates people across two floors. There are communal lounges, dining rooms and bathing facilities. There is an enclosed garden for people to use.
People’s experience of using this service and what we found
People and relatives were positive about the caring nature of staff and the service they received. There were enough staff employed and on duty at any one time to meet the needs of people. The provider had an effective recruitment and selection procedure and carried out relevant checks when they employed staff.
Accidents and incidents were recorded and analysed, and most risk assessments were in place. However, we did find some risk assessments for some clinical areas such as diabetes, glaucoma and Parkinson’s disease were not in place. This was pointed out to the registered manager who took immediate action to address this.
Medicines were managed safely. We identified some minor improvements were needed in relation to the recording of medicines. We received confirmation after our inspection that these records had been reviewed and updated.
Ongoing improvements were being made to the decoration and facilities in the building. Careful thought had been given to the redecoration of the unit where people who had dementia were accommodated.
Staff had the skills and knowledge to deliver care and support in a person-centred way. 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
People told us their privacy and dignity were respected and their independence encouraged. People were able to participate in a range of activities if they chose to do so. Care plans were person centred.
The provider was open and approachable which enabled people to share their views and raise concerns. People and relatives told us if they were worried about anything they would be comfortable to talk with staff or the registered manager.
The provider monitored quality, acted quickly when change was required, sought people's views and planned ongoing improvements.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (published 1 June 2018) and there was one breach in regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
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.