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Care Services

carehome, nursing and medical services directory


Derham House, Upminster.

Derham House in Upminster is a Nursing home specialising in the provision of services relating to accommodation for persons who require nursing or personal care, caring for adults over 65 yrs, dementia and treatment of disease, disorder or injury. The last inspection date here was 24th January 2019

Derham House is managed by Barchester Healthcare Homes Limited who are also responsible for 186 other locations

Contact Details:

    Address:
      Derham House
      Harwood Hall Lane
      Upminster
      RM14 2YP
      United Kingdom
    Telephone:
      01708641441
    Website:

Ratings:

For a guide to the ratings, click here.

Safe: Good
Effective: Good
Caring: Good
Responsive: Good
Well-Led: Good
Overall: Good

Further Details:

Important Dates:

    Last Inspection 2019-01-24
    Last Published 2019-01-24

Local Authority:

    Havering

Link to this page:

    HTML   BBCode

Inspection Reports:

Click the title bar on any of the report introductions below to read the full entry. If there is a PDF icon, click it to download the full report.

11th December 2018 - During a routine inspection pdf icon

This unannounced inspection took place on 11 December 2018. At the last inspection in August 2017, the service was rated as Requires Improvement. This was because we found that there were some shortfalls in maintaining accurate records of care delivered. Records were not always accurate and up to date. We asked the provider to complete an action plan to show what they would do and by when to improve the service. We did receive a comprehensive action plan within the time allocated to them. During this inspection the service demonstrated to us that improvements had been made.

Derham House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The service is registered to provide accommodation for 64 people who require nursing or personal care. Bridge unit provides nursing care whist Foxhall unit also known as "Memory Lane" provides dementia care. On the day of our visit there were 57 people living at the service.

There was a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People told us they felt safe living at the service and staff understood their responsibilities to protect people from the risk of abuse. Risks associated with people's care were identified, and there was sufficient guidance for staff about how to keep people safe.

The registered manager and staff understood when and how to support people’s best interest if they lacked capacity to make certain decisions about their care. Staff had received training about the Mental Capacity Act 2005.

People were supported with their meals to ensure they received food and drinks they liked to help keep them as healthy as possible. They received their medicines as prescribed and medicines were managed safely. There were systems in place for the monitoring and prevention of infection.

There were assessments undertaken and care plans developed to identify people’s health and support needs. People were encouraged to make decisions about their care and support and the service ensured that information was provided to people in ways they could understand.

Staff received training in a variety of areas to ensure they had the skills to meet people's needs. They were supported through supervision and appraisals.

Records confirmed people’s preferences, interests, aspirations and diverse needs had been recorded and care and support had been provided in accordance with people’s wishes. Staff had developed good relationships with people who used the service.

The registered manager had regular contact with people using the service and their representatives. They welcomed suggestions on how they could develop the services and make improvements.

Regular audits were carried out to monitor the quality of the service and drive improvements.

24th July 2017 - During a routine inspection pdf icon

We carried out an unannounced comprehensive inspection of this service on November 2016. After that inspection we received concerns in relation to end of life care. As a result we undertook an inspection to look into those concerns on 24 July and 24 August 2017.

Derham House is registered to provide accommodation for 64 people who require nursing or personal care. Bridge unit provides nursing care whist Foxhall unit also known as "Memory Lane" provides dementia care. On the day of our visit there were 62 people living at the service.

During our visit, there was a registered manager in place, who had already handed in their notice of resignation. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. A few days after the inspection we received a notification to confirm that the registered manager had resigned.

People told us they felt safe living at Derham House. There was an on-going safeguarding case which had been reported and was being dealt with by the appropriate authorities. Staff had attended safeguarding training and were aware of the accident and incident reporting procedures in place.

There was a complaints procedure which was known by people their relatives and staff. Complaints were monitored monthly and investigated and resolved in a timely manner with the exception of two ongoing complaints.

Staff were supported by means of regular supervision and training. Staff had recently undergone refresher end of life training and were able to explain lessons learnt from recent end of life care.

People told us they were treated with dignity and respect by staff who were polite and caring. We observed staff encouraging people to maintain their independence.

There were shortfalls in the way in which some mental capacity assessments, Do Not Attempt Cardio Pulmonary Resuscitation (DNACPR) and bedrails risk assessments were completed.

Care plans mostly reflected people's holistic needs. However, we found repositioning charts did not always specify how often people needed to be repositioned in order to reduce the risk of developing pressure sores.

The service was not always well led. Some records were not always accurate or up to date to reflect the care needs or the care delivered. These were mainly fluid balance charts and food charts which although we could see care being delivered it was not always recorded.

29th November 2016 - During a routine inspection pdf icon

The inspection was unannounced and took place on 29 November 2016. The provider was meeting legal requirements at the last inspection held on 11 and 12 December 2014.

Derham House is registered to provide accommodation for 64 people who require nursing or personal care. The services in divided into two units. Bridge unit provides nursing care whist Foxhall unit also known as “Memory Lane “ provides dementia care. On the day of our visit there were 57 people living at the service two of whom were currently admitted in hospital.

At the time of inspection the manager had been in post for three months and was in the process of registering to be the registered manager. A few days after the inspection the registration had been successful. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People told us they felt safe living at Derham House and that they were treated with dignity and respect. We observed staff being polite and noted they were knowledgeable about people’s likes and dislikes.

Risks to people and the environment were assessed regularly with clear steps to mitigate the risks identified in order to protect people from avoidable harm. Staff had attended safeguarding training and were aware of the procedure to follow in the event of witnessed or alleged abuse.

Care plans reflected people’s current needs and were reviewed as and when their condition changed. We made recommendations about record keeping as some records such as pressure mattress settings, topical medicines administration records and do not attempt resuscitation records were not always completed fully.

Medicines were managed safely by staff who were regularly checked to ensure they were still competent.

People were supported to maintain a balanced diet and were offered meals that suited their individual preferences.

Staff were supported by regular training, meetings, appraisals and supervision. They underwent comprehensive recruitment checks before they started work and had a probation period before they became permanent staff.

Staff were aware off their roles and responsibilities in relation to the mental capacity act and could demonstrate how they would act in people’s best interests.

People told us they were able to complain should the need arose and that they felt their issues were listened to and resolved by staff.

The premises were kept clean and were in the process of refurbishment.

There were effective systems in place to ensure that the quality of care delivered was monitored and improved.

The values and the vision of the home were known by staff and aimed to ensure person centred care was delivered.

1st October 2013 - During a routine inspection pdf icon

People were happy with the care and treatment they received. Comments included "the staff are wonderful, this place is wonderful" and "they do pretty well here." A relative said "I can't fault anyone here, they do such an excellent job." People who used the service were protected from the risk of abuse, because the provider had taken reasonable steps to identify the possibility of abuse and prevent abuse from happening.

People were protected from unsafe or unsuitable equipment because the provider ensured equipment provided was properly maintained, suitable for its purpose and used correctly. There was enough equipment to promote the independence and comfort of people who use the service.

There were effective recruitment and selection processes in place. People said they were satisfied with the skills of the staff. One person said "The staff are very good, they know what they're doing." Appropriate checks were undertaken before staff began work.

The service took appropriate steps to bring the complaints system to people's attention. People said they had not had cause to make a complaint. There was an effective system in place for managing complaints.

12th January 2012 - During an inspection to make sure that the improvements required had been made pdf icon

People told us that the home had a relaxed atmosphere “Get up when you want, go to bed when you want” and “They will make you a cup of tea when you want one”.

Relatives said they felt carers met people’s needs but worked long days and were always busy.

We were told that the Manager was approachable “If there’s anything wrong, we speak to the Manager who sorts it out straight away”.

1st January 1970 - During a routine inspection pdf icon

The inspection was unannounced and took place on 11 and 12 December 2014. The provider was meeting legal requirements at the last inspection in October 2013.

Derham House is registered to provide accommodation for 64 people who require nursing or personal care. The service provides care to people living with dementia, older people who are physically frail and people in need of nursing care. The service also provides an end of life service with support from the local hospice.

At the time of inspection there was a registered manager in place. ‘A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.’

People told us that they felt safe and that they trusted the staff who cared for them. There were arrangements in place to ensure that people were protected from abuse or harm because staff were aware of how to identify, manage and escalate risks. Regular risk assessments in relation to the service provision, delivery of care and the environment were completed. Medicines, were stored, handled, administered and disposed of in a safe and consistent manner.

Staff were aware of the emergency procedures to take in the event of a fire or a medical emergency. We reviewed staff rotas and found that staffing levels were in line with what staff and the manager had told us and ensured that there were enough staff on duty to meet the needs of people. Sickness and short term absence were covered by staff or by regular bank staff and agency staff were only used as a last resort.

Care was person centred, planned and reviewed in a timely manner. Staff were supported to deliver effective care because the service ensured that staff attended regular supervision. Training and appraisals of staff also took place. There were systems in place to ensure consent was sought before care was delivered. Staff had received training on the Mental Capacity Act (2005) and Deprivation of Liberty Safeguards (DoLS). However care staff when asked demonstrated limited knowledge about DoLs.

We found that people were supported to eat a balanced diet. Specialised diets were catered for and regular nutritional risk assessments were completed in order to detect any malnutrition.

People told us that staff were caring and attentive to their needs. We observed that staff were caring and compassionate and listened to people who used the service. Call bells were answered promptly so that people did not have to wait for prolonged periods of time for care to be delivered.

Care plans included people’s personal preferences including cultural and religious beliefs and hobbies. People including those who chose to stay in their rooms were offered activities in order to keep them engaged.

The service had systems to ensure that the quality of care delivered was monitored. There were clear leadership structures and staff were aware of their individual responsibilities. People and their relatives were aware of the complaints process. We saw evidence that people’s views were listened to and where required changes were made to improve the service.

 

 

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