CQC report explained · a residential care home
What the CQC found at Derbyshire House Residential Care
Rated Outstanding: inspectors found the home performing exceptionally well.
- Safe?
- Good
- Inspectors were assured that infection risks were being managed through visitor checks, testing, vaccination checks, protective equipment, hygiene measures and an up-to-date infection control policy.
- Effective?
- Good
- This area was not assessed in this targeted inspection.
- Caring?
- Good
- This area was not assessed in this targeted inspection.
- Responsive?
- Outstanding
- This area was not assessed in this targeted inspection.
- Well-led?
- Outstanding
- This area was not assessed in this targeted inspection.
What inspectors found, February 2022
Inspected but not rated; inspectors found good COVID-19 infection controls and support for visits and family contact.
This was an announced, targeted inspection on 19 January 2022. Inspectors looked mainly at infection prevention and control, visiting arrangements and any staffing pressures linked to COVID-19.
Inspectors found examples of good practice. The home carried out checks for visitors and staff, including testing and vaccination checks. It also used protective equipment, social distancing and hygiene measures.
The home helped residents stay in touch with relatives through visits, video calls, phone calls and letters. Inspectors also found that infection controls were balanced with residents' mental health and feelings of loneliness.
The service was inspected but not rated. This was not a full inspection of all five areas of care, so it does not provide an overall quality rating.
Infection control
Inspectors were assured that the home had measures to prevent and manage infections, including checks, testing, protective equipment and hygiene arrangements.
“We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed.” from the report
Family contact
The home supported residents to keep in touch with relatives and friends in several ways, including visits, calls, video calls and letters.
“Derbyshire House Residential Care supported people who lived there to remain connected with friends and relatives through visits, video calls, phone calls and letters.” from the report
Balancing safety and wellbeing
The home considered the possible effects of infection controls and isolation on residents' mental health and loneliness.
“This included the use of clear screens where appropriate to reduce feelings of loneliness when isolating.” from the report
Safe visits and trips out
The home supported visits and trips out with risk assessments and testing arrangements.
“They encouraged families and friends to take people out of the home following risk assessment and with appropriate testing before and after the trips out of the home.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you currently manage staffing pressures linked to COVID-19, and have these affected residents' care?
- 02How do you check vaccination or exemption status for staff and visiting professionals?
- 03What testing and other checks are currently required for visitors and for residents returning from trips out?
- 04How do you support residents' mental health and reduce loneliness if they need to isolate?
- 05How do you help residents stay connected with relatives if visits cannot take place?
This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; the service was inspected but not rated and other areas were not assessed. This explanation was written from the published report of 11 February 2022 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, February 2019
Derbyshire House Residential Care was rated Outstanding overall; inspectors found excellent personalised activities and leadership, with safe, effective and caring services rated Good.
Inspectors carried out an unannounced, comprehensive inspection on 8 January 2019. They spoke with people living at the home, relatives, staff and a healthcare professional. They also checked care records, medicines, staff training, recruitment, complaints and safety checks.
People were protected from abuse and avoidable harm. Staffing levels were sufficient, medicines were managed safely and the home was clean. Inspectors noted that guidance for medicines taken when needed lacked detail, but the manager acted immediately to improve it.
Care was kind, respectful and tailored to people's needs. Inspectors rated the home Outstanding for being responsive and well-led, especially because of its activities, end of life care, dementia support, community links and strong leadership. Safe, effective and caring were rated Good.
This was the first rated inspection since the home's new registration in 2017. The overall Outstanding rating means inspectors found an exceptionally high standard overall, although not every area was rated Outstanding.
Personalised activities
People could take part in activities linked to their interests, past work and hobbies. Activities included outings, animals, music, games and community involvement.
“People received excellent opportunities to participate in a variety of social and recreational activities and opportunities.” from the report
Dementia support
The home used detailed knowledge of people's histories and interests to provide meaningful activities and reassurance for people living with dementia.
“Staff had adopted this model of approach and this was achieving positive outcomes for people.” from the report
Leadership and improvement
The manager involved people, relatives and staff in decisions and acted on feedback. Inspectors found strong links with the local community and clear oversight of quality and safety.
“The registered manager had developed exceptionally positive links with the community and continually strived to enhance the service people received.” from the report
Medicines guidance
minorInstructions for medicines prescribed to be taken when needed did not contain enough specific detail. The manager took immediate action during the inspection to address this.
“Guidance on medicines prescribed 'as required' lacked specific detail, but the registered manager took immediate action to address this.” from the report
Infection control improvements
minorA 2018 infection control audit had identified recommendations. The home had started improvements, including changing cleaning schedules and appointing an infection control lead, with further work on its action plan.
“Further improvements had been added to the provider's overall action plan as a way of measuring progress of what was required, by whom and when.” from the report
- 01What specific changes were made to guidance for medicines prescribed to be taken when needed?
- 02What infection control recommendations from the 2018 audit remained on the action plan, and have they all been completed?
- 03How are staffing levels adjusted when people's needs change, including during illness or end of life care?
- 04How will you learn about my relative's past interests, routines and important relationships so activities and care are personalised?
- 05How are families involved in monthly care plan reviews and decisions about end of life care?
This was an unannounced comprehensive inspection covering all five CQC questions, and it was the first rated inspection since the home's new registration in 2017. This explanation was written from the published report of 15 February 2019 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Derbyshire House Residential Care
Each visit the CQC has published, newest first, back to the day the home was registered.
- February 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
Read what inspectors found at Derbyshire House Residential Care →
- February 2019OutstandingSafe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Outstanding
Read what inspectors found at Derbyshire House Residential Care →
- April 2017
Registered with the Care Quality Commission on 3 April 2017.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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