Deansfield Residential Care Home

Updated 27 April 2023

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 Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection team consisted of 2 inspectors.

Service and service type

Deansfield Residential Care Home is a 'care home'. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Deansfield Residential Care Home is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the 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 (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 2 people who lived at the care home and 4 relatives. We also spoke with the nominated individual and the registered manager whilst we were on site. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We spoke with 3 members of staff including 1 senior care worker and 2 care workers.

We looked at the care records for 3 people. We checked the care people received matched the information in their records. We looked at records relating to the management of the service, including audits carried out within service.

Updated 27 April 2023

About the service

Deansfield Residential Care Home is a residential care home providing accommodation for to up to 16 people who require personal care. The service provides support to older people, some of whom live with dementia. At the time of our inspection there were 14 people using the service.

The home has a communal bathroom and shower room and all bedrooms have a wash basin. People also have access to a communal dining room and lounge.

People’s experience of using this service and what we found

People were protected from the risk of abuse. The provider took a proactive approach to assessing and mitigating risks to people's safety. There were enough staff on duty to meet people's needs. Medicines were received, stored, administered, and disposed of safely. Staff had received appropriate training to administer medication. Staff and visitors wore PPE in line with the care home policy. There were systems in place to identify when things go wrong.

There were clear, person-centred information in people's care plans. People were supported to share their views and make their own decisions about their care. The provider ensured people's privacy and dignity was respected and promoted.

People achieved good outcomes from their care. There were investigations when things went wrong. The registered manager ensured people, relatives and professionals were informed and updated. There was a system to monitor and assess the care provided. Where audits identified errors or gaps, these were followed up and the lessons were cascaded through team meetings. There was a culture of continuous learning and improvement.

Rating at last inspection and update

The last rating for this service was requires improvement (published 16 February 2023). 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

We received concerns in relation to the governance of the service. As a result, we undertook a focused inspection to review the key questions of safe, caring and well-led only.

We found no evidence during this inspection that people were at risk of harm from this concern.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good based on the findings of this inspection.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

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