CQC report explained · a residential care home
What the CQC found at Derwent View
Rated Outstanding: inspectors found the home performing exceptionally well.
- Safe?
- Good
- People were protected from abuse and avoidable harm. Inspectors found enough staff, safe recruitment, suitable risk assessments and safe medicines systems.
- Effective?
- Good
- People's needs were assessed before they moved in and reviewed as they changed. Staff were well trained, and people received suitable food, healthcare and support with decision-making.
- Caring?
- Outstanding
- Staff had trusting relationships with people and supported their choices, dignity, independence and personal ambitions. Families and professionals gave very positive feedback.
- Responsive?
- Good
- Care plans were personal, written in accessible formats and updated as people's needs changed. People took part in varied activities at home and in the community, and complaints were investigated.
- Well-led?
- Outstanding
- Inspectors found strong leadership, good oversight and a positive culture. Managers used audits, incident information and feedback to improve the home.
What inspectors found, October 2019
Rated Outstanding; inspectors found exceptionally caring and well-led support, with all other areas rated Good.
Inspectors made an unannounced visit on 13 September 2019. They spoke with a person using the home, relatives, staff and managers. They observed staff, and checked care plans, staffing records, medicines information and quality audits.
The home supported up to 19 people with learning disabilities and/or autism. Inspectors found people were safe, received suitable care and healthcare, and had choice over food, activities and daily life. Staff were well trained and staffing was flexible when people's needs changed.
Inspectors rated caring and well-led Outstanding. They found staff knew people very well, supported independence and helped people achieve personal goals. Safe, effective and responsive care were rated Good.
The overall rating improved from Good at the previous inspection in November 2016 to Outstanding. The report says the home would continue to be monitored through the normal re-inspection programme.
Kind and respectful staff
Staff understood people's individual ways of communicating and supported them with warmth, dignity and respect.
“People had excellent trusting relationships with the staff.” from the report
Independence and achievement
People were supported to build confidence, take part in activities and achieve goals such as sporting events and awards.
“Derwent View's positive culture enabled people to achieve their potential and integrate into the community.” from the report
Strong leadership
The manager and senior staff were visible, organised and focused on improving people's care and outcomes.
“The registered manager provided outstanding leadership and support to staff, people and relatives.” from the report
Flexible staffing
Staffing changed when people became unwell, went out, needed extra support or were in hospital.
“Staffing levels were flexible to ensure people's changing needs were met.” from the report
Personalised support
Care plans recorded people's preferences, histories and interests, and staff used different communication methods to involve people in decisions.
“People had personalised care plans which recorded how they wanted their care and support provided, and their likes, dislikes, family histories, and interests.” from the report
Uneven outdoor safety matting
minorThe matting under an outside swing was loose and uneven in places. The manager had assessed the risk and said it would be replaced with artificial grass in November 2019.
“The floor matting underneath an outside swing was loose and uneven in places.” from the report
- 01Has the loose and uneven matting under the outside swing now been replaced, and how is the area checked?
- 02How would you adjust staffing if my relative became unwell, needed extra support or wanted to go out?
- 03How would you communicate with my relative if they used sounds, facial expressions, pointing or pictures rather than speech?
- 04How often would my relative's care plan and risk assessments be reviewed and updated?
- 05How would my relative be involved in choosing meals, activities and decisions about their care?
This was an unannounced planned inspection that looked at the premises and care provided, and rated all five key questions. This explanation was written from the published report of 24 October 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.
What inspectors found, January 2017
Rated Good; inspectors found safe, kind and personalised care, with small improvements needed to medicines records and complaints information.
This was an unannounced inspection on 8 November 2016. One inspector and an expert-by-experience spoke with people, relatives, staff and managers. They reviewed care records, staff files, medicines records and quality checks.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found staff understood people's needs, treated them with dignity, supported their independence and helped them take part in activities and community life.
There were two minor issues. A dropped medicine was not recorded as a discrepancy, and the complaints procedure did not include details of the Local Government Ombudsman. The manager said action would be taken. At the previous inspection in May 2014, the provider was meeting all the regulations checked.
Kind and respectful staff
Inspectors saw positive relationships between staff and people. Staff listened, respected privacy and dignity, and encouraged independence.
“People were supported by kind and caring staff.” from the report
Personalised care
Care plans included people's communication needs, preferences, life history and routines. Staff understood how to provide individual support.
“Care plans were regularly reviewed and updated to ensure they remained person-centred and accurately reflected any changes to the individual's needs.” from the report
Activities and relationships
People were supported to enjoy hobbies, use local facilities, go on outings and holidays, and maintain contact with family and friends.
“People were supported to pursue hobbies and interests they enjoyed and accessed the local community.” from the report
Staff training and support
Staff had a range of relevant training and received regular supervision. They said this helped them feel confident in their roles.
“Staff felt that they had the necessary skills and training to meet people's needs and promote their wellbeing and independence.” from the report
Quality monitoring
The provider used audits, surveys, staff meetings and action plans to check the service and make improvements.
“We saw the provider had a range of quality monitoring arrangements in place, to monitor the quality of the service and drive improvement.” from the report
Medicine records
needs fixingOne medicine dropped by staff was not recorded as a discrepancy. This meant the records did not fully follow the home's own medicine policy.
“However we found that one medicine that had been dropped by staff was not recorded to account for the discrepancy in the medicine amount.” from the report
Complaints information
minorThe complaints procedure did not explain how someone could contact the Local Government Ombudsman if they were unhappy with the home's response. The manager said it would be updated.
“The procedure did not contain details of the Local Government Ombudsman (LGO) where the complainant could escalate their complaint if in an event they were dissatisfied with the outcome of their complaint by the provider.” from the report
- 01How do you now record dropped or missing medicines, and how do you check that medicine records are complete?
- 02Has the complaints procedure been updated to include details of the Local Government Ombudsman?
- 03How will you make sure my relative's care plan reflects their communication needs, preferences, routines and changing health needs?
- 04What activities and community visits could my relative take part in, based on their interests?
- 05How would you support my relative to make decisions if they lack capacity for a particular decision?
This was an unannounced comprehensive inspection covering all five key questions and the overall quality of the service; the report says the previous inspection was in May 2014. This explanation was written from the published report of 10 January 2017 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 Derwent View
2 rated inspections over 3 years: the service has improved, from Good to Outstanding.
- October 2019Outstandingcurrent ratingup from GoodSafe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Outstanding
- January 2017GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2014
Report published without a new overall rating.
- April 2013
Report published without a new overall rating.
- December 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 31 January 2011.
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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78 live-in carers within about an hour of Derby
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. 62 can care for a couple. 12 years' experience on average.
“We particularly appreciate the companionship Dawn gives in the evenings when she plays cards and Scrabble with my mother.”
“Rachel is a quietly spoken, extremely caring person and looked after Val very well.”
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.