Derby House

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

People were supported to have choice and control over their own care and to make decisions about their care, treatment, and wellbeing. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

People were at the centre of the assessment process. One person said, “They [staff] listen to me and they always act on what I say.”

Staff had a good understanding and knowledge of the people who lived at the home. They were able to tell us about the care they provided for individual people. They focused on people's strengths so people could have fulfilled and meaningful lives.

The provider carried out detailed assessments on people's needs and choices to ensure they were providing people with the best support and treatment they needed. They told us that all placements were carefully considered.

People told us they felt their health and wellbeing was of high importance to the staff and service. They said staff monitored their health and wellbeing to identify any concerns that could be responded to.

Staff received training to make sure their practice reflected up to date best practice guidance and legislation. Staff told us they felt the training provided was good and gave them the skills needed to provide effective care to people.

The provider's systems and processes were effective in assuring staff at the service delivered evidence-based care. They used nationally recognised risk assessments to monitor people's care needs.

People told us they were involved in ensuring they were receiving care in line with their goals. They said staff worked well together to meet the needs. One person said, "If I need a doctor or a dentist the staff listen to me and act on what I say."

Staff told us they completed a communication book to share information within the team. Without exception staff said they felt listened to, valued and confident to share their ideas on how to improve service delivery.

Partners told us that the service had worked hard to build relationships with health and social care professionals to improve the service for people. One partner said, "The partnership working is excellent, and this enables efficient and excellent care for the people living there."

Information was shared between staff effectively through a handover meeting and a communication book was shared with each care worker, with detailed information about who to support and how, and included any pertinent information or updates. Details were personalised about where how people were feeling and any health related concerns

People told us they were supported to access healthcare professionals to meet their individual needs. This included GPs, community nurses, and mental health teams. They gave us positive feedback about the food at Derby House. They told us that people were supported to have a healthy diet whilst being given choice. One person said, "The food is really good; we get plenty to eat and drink."

Staff told us that people’s health and well-being was supported at the service. Staff and managers knew people’s needs well and discussed when referrals and reviews with relevant professionals were required. They told us people were supported to access a range of activities for people to take part in and people were supported to have a healthy diet whilst being given choice.

Records included information about each person's health needs and guidance for staff to show how these were met and affected their daily lives.

People experienced good outcomes because of the support provided to them. One person said, "If it wasn’t for this service, I would not be here now."

Without exception, staff said that they thought standards of care were good, which led to positive outcomes for people. Staff had taken great care to ensure people's voices and choices were heard and to enable people to build and stay in control of their own lives.

The service monitored people's care support as well as any specific health care needs, such as diabetes. Care plans were reviewed and updated whenever there were any changes in a person’s care needs.

People said they were supported to have maximum choice and control of their lives, and staff supported them in the least restrictive way possible.

The registered manager and staff were passionate about supporting people in the least restrictive way and always considered and acted in people's best interests whilst acknowledging people's right to make unwise decisions.

Staff had received training and had a good understanding of the principles of the MCA. The registered manager was aware of the process to follow to make formal decisions in people's best interests if needed.