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CQC report explained · a residential care home

What the CQC found at Devonshire Court

Outstandingpublished 26 September 2018, 8 years ago

Rated Outstanding: inspectors found the home performing exceptionally well.

The five questions inspectors ask
Safe?
Good
People were assessed for risks such as falls, malnutrition and skin damage, and staff were given guidance to reduce those risks. Medicines, premises, equipment and infection control were also found to be managed safely.
Effective?
Good
Staff received regular training and support, and people had access to suitable food, drinks and healthcare. Inspectors found that staff understood the Mental Capacity Act and Deprivation of Liberty Safeguards.
Caring?
Outstanding
Staff were described as kind, caring and compassionate. People were treated with dignity, their rights and choices were respected, and visitors were made welcome.
Responsive?
Outstanding
Care plans were detailed and based on each person's needs, history and preferences. The home offered many activities, supported personal goals and provided well-planned end of life care.
Well-led?
Outstanding
The management team had a clear vision and used feedback, audits and meetings to improve the home. Inspectors found that earlier improvements had been sustained.
The latest report, explained

What inspectors found, September 2018

Rated Outstanding overall; inspectors found exceptionally caring, responsive and well-led care, with Safe and Effective rated Good.

Inspectors assessed the whole home. They observed care, activities, mealtimes and medicines, and spoke with people, visitors, staff and a healthcare professional. They also checked care records, medicines records, complaints, meeting notes and safety audits.

The home was rated Outstanding overall. Caring, Responsive and Well-led were Outstanding. Safe and Effective were Good. Inspectors found kind staff, good staffing levels, safe medicines management, detailed care planning, varied activities and strong leadership.

The home had improved greatly since earlier inspections. It had been rated Inadequate in 2016 and Requires Improvement in Safe and Well-led in March 2017. Inspectors said the improvements had been consolidated, sustained and built upon.

What inspectors praised
  • Kind and respectful care

    Inspectors found that staff knew people as individuals and respected their dignity, privacy, choices and human rights.

    “Staff were very caring, kind and compassionate to all people who lived at Devonshire Court.” from the report
  • Meaningful activities

    People had a wide choice of activities, including individual activities and support to achieve important personal goals.

    “The service provided a vast range of activities for people which suited their needs and abilities, and which people thoroughly enjoyed.” from the report
  • Strong leadership

    The management team had a clear long-term plan and involved people and staff in improving the home.

    “The registered manager and staff shared a clear vision of how to provide an outstanding service.” from the report
  • Safe medicines

    Inspectors found that people received medicines as prescribed and that checks and an electronic system helped reduce errors.

    “People received their medicine as prescribed and at the right time.” from the report
What inspectors were concerned about
  • Staff turnover and vacancies

    minor

    The home had experienced substantial staff changes. There were 11 vacancies, although the report says these were covered by bank staff when needed.

    “The Provider Information Return told us in the last 12 months 26 staff had left, and 32 staff had started working at the service.” from the report
Questions to ask them, based on this report
  1. 01How are the 11 vacancies covered now, and how often are bank staff used?
  2. 02How will you make sure my relative's care plan reflects their history, preferences and changing needs?
  3. 03Which activities would suit my relative, including if they cannot join larger group activities?
  4. 04How are medicines checked, particularly if a pharmacy supplies less medicine than expected?
  5. 05How would you involve my relative and our family in end of life care decisions?

This was a comprehensive inspection of all five key questions, but the report gives different accounts of the visit date and whether it was announced. This explanation was written from the published report of 26 September 2018 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.

The story over the years

Every inspection of Devonshire Court

Each visit the CQC has published, newest first, back to the day the home was registered.

  1. September 2018Outstandingcurrent rating
    Safe: GoodEffective: GoodCaring: OutstandingResponsive: OutstandingWell-led: Outstanding

    Read what inspectors found at Devonshire Court →

  2. June 2017

    Registered with the Care Quality Commission on 22 June 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.

Next steps

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Most charge £980 to £1,260 a week. 82 can care for a couple. 12 years' experience on average.

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