Background to this inspection
Updated
10 November 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 took place on 9 October 2018 and was unannounced. This meant the staff working at the home and the people living at the home did not know we were visiting. The inspection was carried out by two adult social care inspectors.
We gathered information from the local authority and Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. This information was reviewed and used to assist with our inspection. Before the inspection, the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.
We used a number of different methods to help us understand the experiences of people who lived in the service. We were not able to speak with some of the people using the service because they were unable to communicate verbally with us in a meaningful way. Therefore we observed a group of people who used the service for a period of half an hour and recorded their experiences at regular intervals. This included people's mood, and how they interacted with staff members, other people who use services, and the environment. This method of observation is called the Short Observational Framework for Inspection (SOFI). Our observations showed that people were treated with respect by the staff and they were involved in the decisions about their daily activities.
We spoke with six people living at the service, two relatives, the registered manager, the nominated individual (a director), the deputy manager, three care assistants, one domestic worker and senior care assistant who was covering the cook’s annual leave. We also spoke with two visiting health professionals.
We looked around different areas of the service; the communal areas, the kitchen, bathroom, toilets and where people were able to give us permission, some people’s rooms. We examined a range of records including the following, three people’s care records, people’s nutritional and fluid monitoring records, six people’s medication administration records, three staff files and records relating to the management of the service
Updated
10 November 2018
Darnall View is a care home that provides residential care to a maximum of 24 older people. At this inspection Darnall View were providing services for 21 people some of whom were living with dementia. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. This inspection took place on 9 October 2018 and was unannounced. This meant the staff working at the home and the people living at the home did not know we were visiting.
There was a registered manager at the service. A registered manager 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.
At the last inspection, the service was rated Good. At this inspection, we found the evidence continued to support the rating of Good and 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.
Why the service is rated Good.
People who lived at Darnall View told us they felt safe and staff provided them with the support they needed.
Staff were aware of their responsibilities in keeping people safe.
Medicines were managed safely at the service.
There were robust recruitment procedures in place so people were cared for by suitably qualified staff who had been assessed as safe to work with people.
Individual risk assessments were completed for people so that identifiable risks were managed effectively.
Staff underwent an induction and shadowing period prior to commencing work, and had regular updates to their training to ensure they had the skills and knowledge to carry out their roles.
Staff were well supported and received supervisions and appraisals regularly.
People receiving support felt staff had the right skills to do their job. They said staff were respectful and caring in their approach.
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.
Care plans were detailed and person centred. Care plans were reviewed regularly and changed to reflect current needs.
People were treated with dignity and respect, and their privacy was protected.
People’s nutritional needs were monitored and actions taken where required.
People and relatives spoken with were confident in reporting concerns to the registered manager and staff, and felt they would be listened to.
We saw the service promoted people’s wellbeing by taking account of their needs including activities within the service and in the community.
The service has a quality assurance system, and records showed that identified problems and opportunities to change things for the better were addressed promptly.
The feedback we received showed the service was consistently well managed and well led.
The leadership and culture of the service promoted the delivery of high quality person centred care.
Further information is in the detailed findings below.