CQC report explained · a residential care home
What the CQC found at Diwali Nivas
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- There were enough staff, recruitment checks were completed, and staff understood safeguarding and people's risks. Medicines, infection control and the premises were generally managed safely.
- Effective?
- Good
- Staff had relevant training and followed the principles of the Mental Capacity Act. People had access to healthcare and received culturally appropriate vegetarian food.
- Caring?
- Good
- Inspectors saw kind and considerate care. Staff respected people's privacy and dignity, understood their preferences and supported contact with relatives and friends.
- Responsive?
- Good
- Care was tailored to people's routines, interests, religious needs and communication needs. Complaints had been dealt with according to the home's procedures, and end of life care had been developed with hospice support.
- Well-led?
- Good
- Managers supported staff and involved people in decisions about the home. Quality checks were carried out and action was taken when needed.
What inspectors found, February 2019
Diwali Nivas is rated Good; inspectors found safe, kind and culturally responsive care, with one medicines shortfall corrected during the visit.
This was an unannounced comprehensive inspection on 28 January 2019. The inspector spoke with people, visitors, staff and managers. They checked care records, medicines, safety records and quality checks.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines practice, suitable training, kind care and support that respected people's cultural and religious needs.
The home had improved some systems since the last inspection, including electronic records and work on end of life care. Inspectors found no serious risks or concerns. One issue with guidance for some as-required medicines was corrected on the inspection day.
Enough staff
Inspectors found staffing levels were sufficient to meet people's needs. The provider had kept higher staffing levels because this gave staff more time for individual care.
“There were enough staff on duty during a 24-hour period to meet people's needs.” from the report
Culturally suitable care
Staff understood the culture and traditions of the people living at the home. Food, religious support and daily routines were adapted to individual preferences.
“The service ensured that during the week, people had meals which met their cultural requirements.” from the report
Kind and respectful staff
People and visitors described staff as kind and caring. Inspectors saw staff protect privacy and dignity during personal care.
“People's privacy and dignity was respected.” from the report
Individual routines
Staff adjusted care around people's preferred waking times, personal care routines, food, activities and religious practices.
“People received care tailored to their individual needs.” from the report
Good management checks
Managers involved people and staff in decisions and carried out checks on accidents, medicines, health and safety, and care quality.
“The provider carried out regular quality assurance audits and took action where appropriate.” from the report
As-required medicine guidance
minorPlans for medicines used for agitation or anxiety did not clearly explain when staff should give them. The home corrected this during the inspection.
“Where medicines were for agitation or anxiety, the plans did not clearly give staff information about when they should decide a person's anxiety or agitation had reached a point for the medicines to be administered.” from the report
- 01How do you now record when as-required medicines for anxiety or agitation should be given?
- 02How will you make sure there are enough staff to support my relative's individual routines?
- 03How would you support my relative's religious, cultural and dietary preferences?
- 04How do you involve residents and relatives when care needs or routines change?
- 05How do you work with healthcare professionals if my relative needs extra medical or end of life support?
This was an unannounced comprehensive inspection covering all five questions and the overall rating. This explanation was written from the published report of 22 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.
What inspectors found, September 2016
Diwali Nivas was rated Good; inspectors found safe, kind and personalised care, with earlier cleanliness problems resolved.
This was an unannounced follow-up inspection on 3 August 2016. One inspector and an expert by experience visited, spoke with people, relatives, staff and a health professional, observed care, and checked care, medicines, complaints, safety and management records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines arrangements, suitable training, respectful care, culturally appropriate food, activities and access to health care.
The inspection followed earlier concerns about cleanliness and infection control. Inspectors found these problems had been addressed after refurbishment. They also found that some people were not fully aware of their care plans, or were unsure whether relatives had seen them.
Earlier cleanliness problems resolved
Inspectors found that previous problems with cleanliness and infection control had been addressed. The home had improved shower rooms, flooring, storage and cleaning arrangements.
“Shortfalls in infection control that we noted at the last inspection have been resolved.” from the report
Safe medicines
Medicines were stored securely and records showed they were given safely. There were clear instructions for medicines taken only when needed and for creams.
“Medicines were ordered and stored safely, and staff were trained to administer the medicines people required.” from the report
Kind and respectful care
Inspectors saw staff protect people's privacy and dignity and offer reassurance during care. People and relatives spoke positively about the staff.
“Staff were kind and caring and treated people individually, recognising their privacy and dignity at all times.” from the report
Culturally suitable food and activities
People could choose meals that suited their cultural, religious and dietary needs. Activities included religious programmes, temple visits, exercise, games, painting and hand massages.
“People were provided with a choice of meals that met their cultural and dietary preferences.” from the report
Good safety and staffing arrangements
Inspectors found enough staff to meet people's needs, suitable recruitment checks and personal evacuation plans for emergencies.
“Staff were employed in numbers to protect people and medicines were ordered and stored safely.” from the report
Some people were unclear about care plans
minorSome people did not know they had a care plan, or were unsure whether a relative had seen or signed it. Inspectors also said it was difficult to establish the involvement of people who could not express their views.
“Some people were unable to express their views and opinions so it was difficult to ascertain if they were involved in their care decisions.” from the report
- 01How will you make sure my relative understands their care plan and is involved in reviewing it?
- 02How will you involve me in care planning if my relative wants me to take part?
- 03What changes were made to cleanliness and infection control after the earlier inspections?
- 04How do you make sure staffing levels are sufficient at busy times of day?
- 05How would you support my relative's cultural, religious, food and activity preferences?
This was an unannounced follow-up inspection covering all five CQC questions and checking improvements required after earlier inspections. This explanation was written from the published report of 16 September 2016 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 Diwali Nivas
3 rated inspections over 3 years: the service has improved, from Requires improvement to Good.
- February 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2016Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2016Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- July 2014
Report published without a new overall rating.
- August 2013
Report published without a new overall rating.
- February 2013
Report published without a new overall rating.
- January 2012
Report published without a new overall rating.
- October 2011
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 31 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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