19 August 2021
During an inspection looking at part of the service
Deerplay Care Home is a residential care home providing personal care to 9 people aged 65 and over at the time of the inspection. The service can support up to 15 people. The home is a converted chapel set in its own grounds. Accommodation is provided in single rooms.
People’s experience of using this service and what we found.
People and relatives were generally positive about the service and felt they were well cared for. Health and safety risks had not been addressed appropriately. There were issues relating to the environment and we found the lift had previously been broken for 6 months and mandatory inspections had not taken place.
People did not always have their risks and needs accurately assessed in relation to their behavioural needs. Staff did not have access to appropriate guidance in managing these risks effectively. People’s medicines were generally managed safely, although we identified shortfalls in the storage of prescribed creams.
We received mixed feedback about the food. We have made a recommendation that the service review the menu to ensure that it meets the nutritional needs and preferences of the people living at the service
There were sufficient numbers of staff on duty to meet people's needs and ensure their safety. However, the care staff were also responsible for cleaning and some meal preparation. Following on from our last inspection the provider had agreed to advertise for a cleaner, but this had not materialised. The home was clean and staff followed safe infection control practices.
Recruitment was being managed safely. There were systems in place to record when accidents and incidents took place.
The service worked in partnership with external services appropriately. People's views were sought about the service. People told us the staff were lovely and we observed positive interactions between staff and residents.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published November 2020).
Why we inspected
The inspection was prompted in part due to concerns received about the environment and that there may be a closed culture at the service. This means a poor culture that can lead to harm, including human rights breaches such as abuse. A decision was made for us to inspect and examine those risks.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.
We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.
Enforcement
We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection.
The provider made a decision to close the home following the on site visit and at the time of writing this report all residents had been moved from the service to alternative homes in the local area.