CQC report explained · a residential care home
What the CQC found at Derriford House
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors checked specific safety concerns rather than the whole question. They found suitable equipment, sufficient experienced staff, well-managed dietary and fluid risks, effective infection control and appropriate action after incidents.
- Effective?
- Good
- This question was not assessed in this targeted inspection.
- Caring?
- Good
- This question was not assessed in this targeted inspection, although inspectors observed respectful interactions and received positive feedback from people.
- Responsive?
- Good
- This question was not assessed in this targeted inspection.
- Well-led?
- Good
- Inspectors checked a specific management concern rather than the whole question. They found that management monitored the culture and that people and staff could speak openly with management.
What inspectors found, May 2023
Derriford House: Overall rating remains Good; this targeted inspection was not rated and found staffing, equipment and management were working well.
This was an unannounced targeted inspection on 11 April 2023. Inspectors checked concerns about staffing, equipment and management, and also looked at infection prevention. They spoke with four people, one relative, seven staff and a visiting health professional. They observed care and the environment, and reviewed records for three people.
Inspectors found people felt safe and were happy with their care. Equipment, moving and handling, falls prevention, food and fluid needs, staffing and infection control were being managed. Records showed that staff took appropriate action after falls and accidents.
The inspection also found that management monitored the culture of the home and people and staff felt able to speak openly. The home was not given new ratings for Safe or Well-led because this inspection did not cover the full questions. The previous overall rating of Good remains unchanged.
Suitable equipment
People had equipment to meet their assessed needs and manage identified risks. Staff supported people to move safely and maintain their mobility.
“People were moved safely and supported to retain their mobility.” from the report
Staffing
The inspection found enough experienced staff on duty. Staff were said to provide care without rushing people.
“There were sufficient experienced staff deployed at all levels to meet people's needs.” from the report
Food and fluids
Staff understood dietary and fluid risks. Allergies were managed, drinks were offered regularly and food was adapted for people at risk of weight loss.
“Staff including the chef had a good understanding of people's dietary and fluid risks and needs which were well managed.” from the report
Open management
People and staff said they could speak openly with management. Inspectors saw people looking relaxed around management and staff speaking respectfully.
“People and staff reported they could speak openly with management.” from the report
Mental capacity safeguard
needs fixingOne person lacked the capacity to consent to restrictions in place. The manager completed a mental capacity assessment after this was discussed and later submitted a DoLS application.
“However, 1 person, who had a power of attorney for health and welfare lacked the capacity to consent to the restrictions in place.” from the report
Records after COVID-19 outbreak
minorDuring a COVID-19 outbreak earlier in the year, care plans had not been reviewed and people had not been weighed. The home had since addressed this and was weighing people monthly.
“The registered manager told us during a COVID-19 outbreak earlier in the year, they had not managed to review people's care plans and weigh people.” from the report
- 01Has the DoLS application for the person described in the report now been completed, and what restrictions are currently in place?
- 02How does the home make sure all care plans are reviewed after an infection outbreak or other disruption?
- 03Can you show how monthly weights are recorded and what action is taken if someone loses weight?
- 04How does the dependency tool affect the staffing levels on each shift?
- 05What steps are in place to maintain the improved staff culture mentioned in the report?
This was an unannounced targeted inspection of specific concerns about staffing, equipment and management, with infection control also considered; it did not assess the full key questions and the previous overall Good rating carried over. This explanation was written from the published report of 10 May 2023 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 2022
Inspected but not rated; inspectors found good infection control, visiting arrangements and support for staff during the pandemic.
This was an announced, targeted inspection on 1 February 2022. Inspectors looked at infection prevention and control, visiting arrangements and whether staffing pressures affected care.
The inspectors were assured that the home was managing infection risks. This included the use of protective equipment, testing, cleaning, social distancing, safe admissions and arrangements for preventing or managing outbreaks.
People could receive visitors and go out in line with national guidance. The home also provided support for staff, including training, accommodation where needed, a bonus and additional annual leave.
The home was inspected but not rated. This means the report does not give a new overall rating or a rated result for the five questions.
Infection control
Inspectors were assured that the home had arrangements covering protective equipment, testing, cleaning, admissions and the prevention or management of outbreaks.
“We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed.” from the report
Visiting and outdoor space
People could have visitors and go out in line with national guidance. The garden gave people space to meet visitors, walk, relax and grow plants.
“Arrangements were in place to ensure people could have visitors and go out in accordance with national guidance.” from the report
Support for staff
The home reported supporting staff during the pandemic with training, accommodation where needed, a bonus and additional annual leave.
“They had supported their staff well throughout the pandemic, and recognised their hard work with a bonus and additional annual leave.” from the report
Health and care support
The report describes support from health and social care services, including regular meetings with the GP and a pharmacist reviewing people's medicines.
“The GP held a fortnightly multi-disciplinary team meeting with staff.” from the report
Inspectors raised no specific concerns in this report.
- 01What is the current position on staffing, and have COVID-19-related staffing pressures affected people's care since this inspection?
- 02How are infection prevention, protective equipment and testing arrangements managed now?
- 03How can residents receive visitors and go out, and have these arrangements changed since February 2022?
- 04How are people's medicines reviewed, and how often does the pharmacist attend or provide advice?
- 05What training and support do staff receive, including training in staff members' first language where needed?
This was a targeted inspection of infection prevention and control, visiting arrangements and staffing pressures during the COVID-19 pandemic; the service was inspected but not rated. This explanation was written from the published report of 10 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.
Every inspection of Derriford House
2 rated inspections over 3 years: the service has held its Good rating throughout.
- May 2023Inspected but not ratedcurrent ratingSafe: Inspected but not ratedWell-led: Inspected but not rated
- February 2022Inspected but not ratedSafe: Inspected but not rated
- December 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2017GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2013
Report published without a new overall rating.
- March 2013
Report published without a new overall rating.
- January 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 1 December 2010.
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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26 live-in carers within about an hour of Hampshire
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £1,020 to £1,260 a week. 23 can care for a couple. 14 years' experience on average.
“I cannot recommend Prisca highly enough, she is one in a million.”
“He stayed with her throughout the pandemic, refusing to visit his own family, who lived nearby, to reduce the risk of infection.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.