Delfryn House

Updated 3 November 2021

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 completed by one inspector.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own homes.

The service had a manager registered with CQC. 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

We gave the service 24 hours’ notice of the inspection. This was because it is a small service and we needed to be sure the provider or registered manager would be in the office to support the inspection.

Inspection activity started on 28 September 2021 and ended on 4 October 2021. We visited the office location on 28 September 2021.

What we did before the inspection

We reviewed information we had received about the service. We sought feedback 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. 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 one person who used the service and four friends and relatives about their experience of the care provided. We spoke with four members of staff including the registered manager, deputy manager and two care workers.

We reviewed a range of records. This included four people’s care records and medication records. We looked at three staff files in relation to recruitment and training. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records.

Updated 3 November 2021

About the service

Delfryn House is a domiciliary care service. It provides personal care to adults with a range of support needs who are living in their own homes. There were eight people using the service at the time of this inspection.

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

Risks were appropriately assessed, which then lead to assessments being put into place to guide staff on how to keep people safe. We have made a recommendation about the management of some risks.

There were systems in place to protect people from harm. Staff were trained in how to recognise and respond to abuse and understood their responsibility to report any concerns to the management team. Medicines were mostly managed safely. We have made a recommendation about the management of some medicines.

Safe recruitment processes were followed, and appropriate checks had been undertaken, which made sure only suitable staff were employed to care for people. There were appropriate numbers of staff employed to meet people's needs and provide a flexible service.

Staff were supported to provide appropriate care to people because they received training and supervisions. There was an induction, and training and development programme, which supported staff to gain relevant knowledge and skills.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The registered provider's policies and systems supported this practice. People had consented to receiving care and support from Delfryn House.

People were supported to maintain their health by being supported to access a range of health care professionals. People were able to raise any concerns they may have had. Systems were in place to make sure the service complied with the Accessible Information Standards.

People, relatives and staff spoke highly of the management at the service. Audit systems were in place to monitor the quality and safety of the service. Though further improvements were needed to make them more robust; for example, audit processes did not identify the same issues found at inspection. The management team were open about the challenges of being a new service and welcomed CQC’s feedback. The registered manager was quick to address feedback and said they were committed to providing high quality care and the service worked well in partnership with others to ensure the best outcomes for people.

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

Rating at last inspection

This service was registered with CQC on 03 June 2020 and this was the service’s first inspection.

Why we inspected

This was a planned inspection.

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.