Derwent Lodge Care Centre

Updated 12 August 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 was conducted by 3 inspectors, a member of the CQC medicines team 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

Derwent Lodge Care Centre is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. Derwent Lodge Care Centre is a care home with 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 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 looked at all the information we held about the provider including the action plan from the last inspection, information from other stakeholders and notifications of significant events.

During the inspection

We observed how people were cared for and supported. Our observations included the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We spoke with 8 people who used the service, 5 visiting relatives and friends, and 1 visiting professional. We spoke with staff on duty who included care workers, senior care workers, nurses, team leaders and members of the management team.

We looked at the care records for 7 people, and other records used by the provider for managing the service. These included audits and meeting minutes.

We looked at how medicines were managed. We looked at the environment, equipment being used and health and safety systems.

Updated 12 August 2023

About the service

Derwent Lodge Care Centre is a nursing home for up to 65 people. Most people using the service were older adults. Some people were living with the experience of dementia. At the time of our inspection 62 people were living at the service.

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

People were happy with the care and support they received. They had good relationships with staff and felt their needs were met. Their relatives felt good care was provided and they were involved and well informed.

There were enough suitable staff. The staff were happy and well supported. They had a good range of training and opportunities to meet with their managers. The staff explained managers worked alongside them and provided consistently good leadership.

Medicines were managed in a safe way.

There were procedures for identifying, investigating, and responding to complaints, safeguarding alerts, and other adverse events.

There were effective systems for monitoring and improving the quality of the service. The provider had made improvements since the last inspection. The managers carried out audits which included gathering feedback from people using the service, staff, and other stakeholders.

The risks to people's safety and wellbeing were assessed and planned for. People were enabled to take positive risks and do things for themselves when they were able and wanted this.

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.

For more information, please read the detailed findings section of this report. If you are reading this as a separate summary, the full report can be found on the Care Quality Commission (CQC) website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 1 March 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 carried out an unannounced inspection of this service on 17 January 2023. A breach of legal requirements was found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led.

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. This is based on the findings at this inspection.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.