• Care Home
  • Care home

Diamond House

Overall: Requires improvement read more about inspection ratings

80 Bewcastle Grove, Leicester, LE4 2JW

Provided and run by:
Minster Care Management Limited

Important: The provider of this service changed. See old profile

All Inspections

11 April 2023

During a routine inspection

About the service

Diamond House is a residential care home providing the regulated activity accommodation and personal care. The care home accommodates 74 people across two separate buildings, each of which has separate adapted facilities. The service provides support to people with a physical disability and/or people living with dementia. At the time of our inspection, there were 64 people using the service.

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

The systems and processes that assessed and monitored quality and risks had been improved upon but were not sufficiently robust in some areas.

Improvements to the cleanliness and hygiene in some parts of the service was required. Immediate actions were taken to make these improvements.

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. However, improvements were required in how MCA assessments and best interest decisions were documented.

Staff deployment in 1 building was not consistently adequate, to meet people’s needs and safety. Immediate action was taken to improve staffing.

Staff training had improved, but gaps were still evident in some areas. Staff were recruited safely and received opportunities to review their work, training, and development needs.

Care documents used to provide staff with detailed guidance of how to meet people’s known risks and individual care needs, were being reviewed and updated. Where completed, guidance was detailed and reflected people’s needs and preferred routines.

Risks associated with fire safety had improved and were being monitored. Staff were aware of their responsibilities to protect people from abuse and avoidable harm.

People were positive about the choice and quality of food and drinks. People’s individual dietary needs were known, understood, and monitored.

People’s health needs were monitored, and staff worked with external health care professionals, in supporting people to achieve positive outcomes.

People received care that was respectful, compassionate, and dignified. Choice and independence were promoted. People were positive about the caring approach of staff, whom they believed knew and understood their needs well.

People received opportunities to participate in group and individual activities based on their interests and hobbies. A new document to reflect people’s end of life care wishes had been introduced. People’s diverse and cultural needs and preferences were recorded and understood by staff. People’s individual communication needs had been assessed.

People, visitors, and staff received opportunities to share their experience to help develop the service. Staff were positive about working at the service and improvements had been made to the frequency of staff meetings and communication. Staff competency checks had been introduced and were an effective way to measure staff skills and learning needs.

The registered manager and provider understood their registration regulatory responsibilities. The last rating for the service was clearly displayed.

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

Rating at last inspection and update

The last rating for this service was requires improvement (published 30 July 2022) and there were breaches of regulation. 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 some improvements had been made; however, the provider remained in breach of 1 regulation and the rating remains requires improvement.

Why we inspected

This inspection was carried out to follow up on action we told the provider to take at the last 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 Diamond House on our website at www.cqc.org.uk.

Enforcement

A continued breach of Regulation 17 Good Governance was identified.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.

9 May 2022

During a routine inspection

About the service

Diamond House is a residential care home providing the regulated activity accommodation and personal care. The care home accommodates 74 people across two separate buildings, each of which has separate adapted facilities. The service provides support to people with physical disability and/or dementia. At the time of our inspection there were 60 people using the service.

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

Risks at the service were not always managed safely. People were not always provided with safe support for their diabetes needs. Medicines were not always managed safely. Fire risks had not all been addressed including a lack of detail in the personal evacuation plans in the event of a fire.

We were not assured that people were always protected from the spread of infection at the service.

End of life care plans did not provide much guidance to staff. Care plans were not person centred and sometimes contained information that was no longer relevant.

People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible.

Governance systems were not always effective at ensuring high quality care across the service. However, the management team were responsive to feedback and had begun to make changes following the inspection. We will assess the impact of this at our next inspection.

People were supported to eat and drink enough to prevent malnutrition and dehydration. External health and social care professionals were involved with the service where needed.

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

Rating at last inspection

The last rating for the service under the previous provider was Good, published on 31 March 2020.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

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.

We have found evidence that the provider needs to make improvements. Please see all sections of this full report.

The provider has already taken some actions to mitigate the risks of some concerns raised and continues to work to put action in place to mitigate all risks.

The overall rating for the service has changed from Good to Requires Improvement based on the findings of this inspection.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.

We have identified breaches in relation to care person centred care, dignity and respect, safe care and treatment and leadership of the service, at this inspection.

Please see the action we have told the provider to take at the end of this report.

We sent the provider a warning notice asking them to make changes. When we next return to inspect the service, we will consider what improvements have been made

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.