Deepdene House

Updated 14 December 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

This inspection was conducted by one 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.

Service and service type

Deepdene House is a ‘care home’. 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.

The service had a manager registered with the Care Quality Commission. This means that they 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

The 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. 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 nine people who used the service about their experience of the care provided. We spoke with five members of staff including the registered manager, three care workers and the chef.

We reviewed a range of records. This included three people’s care records and medicines records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including complaints, incident forms, policies and procedures were reviewed.

After the inspection

We requested additional evidence to be sent to us after our inspection. This was received and the information was used as part of our inspection, this included assessment forms and training records. We also contacted four health professionals for their feedback.

Updated 14 December 2019

About the service

Deepdene House is a care home providing residential care without nursing for up to 20 people with mental health needs. At the time of the inspection there were 19 people using the service.

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

Deepdene house was a safe environment where people felt comfortable and at home. They were supported to take acceptable risks by staff who knew what steps to take if they were concerned about people’s safety. Incidents and accidents were reported and used as an opportunity for learning. There were enough staff employed to keep people safe.

Prior to moving into Deepdene House, a pre-admission assessment was completed which helped to ensure people’s care needs could be met. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. Staff received training and supervision which meant they were able to support people effectively. People were supported to eat a healthy diet and their mental and physical health needs were looked after.

Staff cared for people in the best way possible, supporting them to maintain their independence. People were treated as equals with no discrimination. People were supported to express their views.

There was a thriving activities programme available to people with a number of activities taking place within the home. People were also supported to access community-based services, such as day centres. Support plans were reviewed regularly and helped to ensure people received care that was in line with their wishes. People were encouraged to feedback about the service and their concerns were acted upon.

The registered manager and the staff team were highly thought of by people and by health and social care professionals. There was an open culture with the home where people and staff were able to have their say. Robust quality assurance checks such as audits were in place. Good links had been established with community teams to ensure joined-up care.

Rating at last inspection

The last rating for this service was Good (published 16 May 2017).

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.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk