Deeside Care Home Care Home Service

Transcription

1 Deeside Care Home Care Home Service Cults Avenue Cults Aberdeen AB15 9RZ Telephone: Type of inspection: Unannounced Inspection completed on: 21 April 2017 Service provided by: Deeside Care LLP Service provider number: SP Care service number: CS

2 About the service Deeside Care Home is registered to provide a care service to a maximum of 68 older people. The provider is Deeside Care LLP. The home is situated in the Cults area of Aberdeen and is close to local amenities, including shops, a library and local transport routes. The building is set out over five floors with accommodation for residents on the ground, first, second, and third floors. The home is spacious and residents have en suite facilities and a range of communal areas. The aims and objectives of the service are to "provide a high standard of individualised care to all service users... to be treated with care, dignity, respect, and sensitivity to meet the individual needs and abilities of the service user." This service registered with the Care Inspectorate on 15 October What people told us We spoke to seven residents who live at Deeside Care Home, they told us that they thought the staff were very kind and that they were very happy and very well looked after. We were told that they thought the food was "delicious" and that nothing was too much bother. Residents stated they felt safe and one resident said they were "delighted with the facilities and coffee area". All the residents we spoke with felt very comfortable to discuss any problems or issues they may have, with the manager, or the staff. Observation of practice showed all staff interacting with residents and their families in a very warm, friendly and caring manner. We also sent 20 questionnaires to residents. Of which 12 were completed and returned to us. These were completed with the assistance of staff and/or relatives. There were many positive comments about the home and the quality of care and support provided. Although there were varying comments on the meals and the laundry service, residents told us that they remain very happy. Residents commented that "they have a good, safe, secure, clean and hygienic environment", the staff are so supportive" and "the management are approachable and professional". We also spoke with four relatives and received 15 completed questionnaires during the inspection process. They spoke very highly of the staff, the management, environment and the quality of care. The relatives stated that they always felt welcome and comfortable visiting. One relative commented; "We think dad couldn't be in better hands". The views of the residents and their families have greatly informed the findings of this inspection and are included throughout this report. Self assessment The service had not been asked to complete a self assessment in advance of the inspection. We looked at their own improvement plan and quality assurance paperwork. These demonstrated their priorities for development and how they were monitoring the quality of the provision within the service. From this inspection we graded this service as: Quality of care and support Quality of environment 5 - Very Good not assessed page 2 of 6

3 Quality of staffing Quality of management and leadership not assessed 6 - Excellent What the service does well We found that the outcomes for the residents regarding their daily care and support were very good and excellent in relation to the management and leadership. Residents continued to be central to how the service delivered care and support. We were provided with a wide range of evidence which clearly showed us how involved the residents were in their daily life. We found that participation and choice remained fundamental to the care and support provided. Staff demonstrated a very positive understanding of the principles of participation/involvement. Residents felt as though they were involved not just in their care but also in the life of the Home. Staff were very friendly, kind and genuine in their approach to the residents and their families. Staff took time to ensure that residents were not rushed or hurried. Staff also took time to listen to the residents. There was a very positive ethos amongst staff of the residents care, support, wellbeing and independence being very important. There was a strong stable team of staff. It was clear that staff knew the residents well. They were aware of how they like to spend their time and tried hard to ensure the residents remained as independent as possible within the home. There were many positive outcomes for the residents. Examination of relevant documentation showed that the management and staff had an outcome focused approach to maintaining and improving the residents' wellbeing. Personal plans were extremely informative and person-centred. These plans were very real for each resident. We observed some very positive interactions between staff and residents, which demonstrated that staff treated residents with very good levels of respect and dignity. We found that the quality assurance processes and procedures continued to be an integral part of how the service operated. This has had a positive outcome on the way the service has continued to improve and maintain the good practice demonstrated by staff. A variety of both formal and informal methods were used to seek feedback from residents and relevant others. Various staff from the organisation and from within the staff group had audited and reviewed the service throughout the year. Action plans had been developed and the outcomes feedback to the residents and staff. Any actions that had been identified by the service were addressed quickly. It was good practice that there were a variety of staff involved in any quality assurance process. All the suggestions we made throughout the inspection process were promptly addressed or appropriate steps taken to implement. Since the last inspection Deeside had been awarded a number of awards from peers within the care industry. Staff have been involved in changing practices and procedures within the home. Staff demonstrated a pride at working at Deeside. Staff stated they were 'delighted' when they received positive feedback. The three recommendations made previously in relation to the person plans, care reviews and ensuring residents were not unduly restricted have been addressed. One of the main fundamental factors within Deeside Care Home is that the manager and the leadership team page 3 of 6

4 had set the philosophy amongst staff regarding the culture within the home. We received a lot of feedback regarding the manager being highly visible. The manager was described as being "excellent". Deeside Care Home is a service that lives the values it sets out for itself. What the service could do better We found that although the care, support and outcomes for the residents were very good, there were a few areas of practice that could be amended to further improve the quality of life for the residents. These included reviewing, when medication was administered to ensure meals were not disturbed. The communication systems could be further developed to ensure all staff were aware of residents specific dietary requirements. Ensuring residents' notes were not archived too quickly, as this could potentially impact on how effective residents' care was evaluated. We also found that the evaluation of covert medication could be further developed to ensure a more acutate picture of the residents' changing needs and ablities. Although staff attitude to risk was generally improving, there remains a 'fear' of residents coming to harm. A number of areas within the home were still not fully accessible to the residents without being accompanied by staff. We shared further good practice information with the management team. Although we highlighted some areas in which the service could further improve, this did not distract from the many positive outcomes for the residents and the positive culture within the home of trying to improve the overall service provided. Requirements Number of requirements: 0 Recommendations Number of recommendations: 0 Complaints There have been no complaints upheld since the last inspection. Details of any older upheld complaints are published at page 4 of 6

5 Inspection and grading history Date Type Gradings 20 Jun 2016 Unannounced Care and support 5 - Very good 5 - Very good 5 - Very good Management and leadership 5 - Very good 17 Mar 2016 Re-grade Care and support 4 - Good 4 - Good Management and leadership 4 - Good 1 Feb 2016 Unannounced Care and support Not assessed Not assessed Not assessed Management and leadership Not assessed 27 May 2015 Unannounced Care and support 4 - Good Management and leadership 13 Mar 2015 Unannounced Care and support Management and leadership 30 Apr 2014 Unannounced Care and support Management and leadership page 5 of 6

6 To find out more This inspection report is published by the Care Inspectorate. You can download this report and others from our website. Care services in Scotland cannot operate unless they are registered with the Care Inspectorate. We inspect, award grades and help services to improve. We also investigate complaints about care services and can take action when things aren't good enough. Please get in touch with us if you would like more information or have any concerns about a care service. You can also read more about our work online at Contact us Care Inspectorate Compass House 11 Riverside Drive Dundee DD1 4NY enquiries@careinspectorate.com Find us on Facebook Other languages and formats This report is available in other languages and formats on request. Tha am foillseachadh seo ri fhaighinn ann an cruthannan is cànain eile ma nithear iarrtas. page 6 of 6