Devonshire Manor

Updated 24 July 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 inspection was unannounced and took place on 19 and 21 June 2018.

The inspection team consisted of an inspector 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 for this inspection had expertise in the care of people with mental health needs.

We looked at the information we held about the service, which included ‘notifications’. Notifications are changes, events or incidents that the provider must tell us about.

We reviewed the provider’s statement of purpose. A statement of purpose is a document which includes the service’s aims and objectives.

We contacted commissioners for health and social care, responsible for funding some of the people who used the service and asked them for their views about the agency. No information of concern was held about the current provision of personal care to people using the service.

During the inspection we spoke with two people who used the service and three relatives. We also spoke with the registered manager and four staff members employed by the service.

We looked in detail at the care and support provided to two people, including their care records, audits on the running of the service, staff training, three staff recruitment records and policies of the service.

Updated 24 July 2018

This inspection took place on 19 June 2018 and was unannounced.

At our last inspection we rated the service as good. At this inspection we found the evidence continued to support the rating of good. 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.

People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.

Devonshire Manor is a residential care home for up to six people living with an acquired brain injury. It is situated close to the centre of Nottingham. The home has six bedrooms, with en-suite facilities, over two floors with stairs.

The home has six bedrooms, with en-suite facilities, over two floors with stairs.

At the time of this inspection there were three people using the service.

The service had a registered manager. This is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The home had a welcoming atmosphere. Staff were visible and continually speaking with people they supported. People told us they felt safe at the home and there were enough staff to meet their needs. Staff knew how to minimise risks to people and ensure they had their medicines when they needed them.

Staff were trained, skilled and knowledgeable about how to provide effective care and support.

People were involved in choosing; planning and preparing their own meals and records showed people's nutritional needs were identified and met. Meals were varied. The kitchen was open for people to use in the company of staff.

People's healthcare needs were well-managed at the home.

The premises were homely and comfortable apart from paint damage in two bedrooms.

People said the staff cared about them and encouraged them to be independent. Staff communicated with people in the way people wanted including writing messages and speaking with people.

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

Activities were seen as important to people's quality of life at the home and staff ensured people had the opportunity to take part in one-to-one activities both in the home and the wider community. These included social and leisure activities based on people's preferences.

The home was well-led by the new registered manager. There was a culture of openness at the service and the registered manager was supportive. People and relatives were involved in how the home was run and their views listened to and respected. The results of the annual quality assurance survey showed a high level of satisfaction with the service provided.

Further information is in the detailed findings below.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Devonshire Manor on our website at www.cqc.org.uk