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CQC report explained · a residential care home, run by Mr Vincent Kelly

Damascus House

517 Loughborough Road, Birstall, Leicester, LE4 4BJ

Goodpublished 24 November 2023, 2 years ago

Rated Good: inspectors found the service performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors found that people were protected from abuse and avoidable harm. Risks, staffing, medicines, infection control and emergency plans were managed safely.
Effective?
Good
This key question was not inspected during this visit. Its previous rating was used when calculating the overall rating.
Caring?
Good
This key question was not inspected during this visit. Its previous rating was used when calculating the overall rating.
Responsive?
Good
This key question was not inspected during this visit. Its previous rating was used when calculating the overall rating.
Well-led?
Good
Inspectors found positive leadership, good management systems and an open culture. The provider used audits, feedback and incident reviews to improve care.
The latest report, explained

What inspectors found, November 2023

Damascus House is rated Good; inspectors found safe, kind and well-managed care, with the home larger than good practice guidance suggests.

This was an unannounced inspection over 25 and 26 October 2023. One inspector and an Expert by Experience spoke with 8 people living there, 5 relatives, 7 staff and the registered manager. They also checked care records, medicines records, recruitment, training and management records.

The inspectors looked at Safe and Well-led. They found people were protected from abuse, risks were assessed, staffing levels were sufficient and medicines were managed safely. Staff knew people well and most had worked at the home for a significant time.

The home had a warm and friendly atmosphere. People were supported to make choices, be independent and take part in education, activities and community life. The report says the home met the guidance on right support, right care and right culture, although it is larger than the guidance suggests.

Safe was rated Good and Well-led was rated Good. The other key question ratings were not inspected during this visit, so the report used the ratings from the previous inspection when calculating the overall Good rating.

What inspectors praised
  • Choice and independence

    People were supported to make choices about their daily lives, activities, food and education. Staff helped people remain as independent as possible.

    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 interestsfrom the report
  • Consistent staff team

    There were enough staff to meet people's needs, and many staff had worked at the home for a long time. This meant staff knew people well.

    Most staff at the service had been employed for a significant amount of time.from the report
  • Positive culture

    Inspectors found a warm and friendly atmosphere. People, relatives and staff felt able to raise concerns and said management listened.

    People, relatives, and staff told us the management and staff were approachable and listened when they had concerns.from the report
  • Safe care

    Care plans and risk assessments were clear and personalised. Medicines were stored, administered and checked safely.

    Care plans and risk assessments were person centred providing clear and accurate information in line with best practicefrom the report
What inspectors were concerned about
  • Communal decoration

    minor

    Some communal areas needed their decoration refreshed. The provider acted and made the improvements identified after the inspection.

    We noted some décor in communal areas needed refreshing.from the report
Questions to ask them, based on this report
  1. 01How does supporting 12 people affect the amount of one-to-one time and personal attention available?
  2. 02What changes were made to the communal decoration after the inspection?
  3. 03How will you support my relative to make daily choices and remain independent?
  4. 04How do you make sure the staff team remains consistent and continues to know each person's needs?
  5. 05How are medicines, including as-required medicines, checked and reviewed?

This inspection looked at Safe and Well-led only; the other key question ratings were not inspected and the previous ratings were used to calculate the overall rating. This explanation was written from the published report of 24 November 2023 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 Damascus House

3 rated inspections over 8 years: the service has held its Good rating throughout.

  1. November 2023Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Damascus House

  2. August 2018Goodstayed Good
    Safe: GoodWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. April 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. May 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. January 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. December 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. January 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. December 2010

    Registered with the Care Quality Commission on 3 December 2010.

Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.

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