The Devonshire Also known as 1- 3883899011

On this page

• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

The provider had worked with staff to embed a culture within which all employees understood their responsibility to raise and report any incidents or concerns. Staff were well-supported by their line managers and the home’s management team. Managers and staff made sure relatives were kept up to date regarding their family members’ health and wellbeing. Governance arrangements helped ensure people received safe, good quality care. Key aspects of the service were audited regularly, and policies and procedures were kept under review. The home had an established management structure within which people understood their roles and responsibilities.

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.

Some of the concerns raised in July 2024 demonstrated a need to establish a culture within which staff recognised poor practice and understood their responsibility to raise any concerns they had. The regional director said he and the provider’s Human Resources team had run workshops to ensure staff understood their responsibilities in relation to raising and reporting incidents or concerns. The staff we spoke with demonstrated a good understanding of their responsibilities and a shared commitment to improving the care people received.

The provider had reinforced expectations in terms of recognising and reporting concerns through workshops and team meetings.

Staff told us they were well-supported by their line managers and the home’s management team. They said they found supervision with their line managers useful as this provided opportunities to discuss their role and any additional training needs. One member of staff told us, “I am asked how I feel about my work, what areas do I need to improve, any further training, where to find company policies, if I have any concerns.” Another member of staff said, “There is nothing I wouldn’t be able to say to [registered manager] and the deputies; they are very supportive and encouraging.”

The provider’s systems of supervision and appraisal ensured staff had access to the support they needed to carry out their roles.

Staff told us they would feel able to raise concerns and knew how escalate these if appropriate action was not taken. One member of staff told us, “If I had concerns, I would report everything and make sure action was taken. I know we can escalate [concerns] if nothing is done; I know about the process and how to do it.”

In response to concerns raised in July 2024, the provider had run sessions for staff at the home to ensure they felt able to speak up if they had concerns about any aspect of the service.

We did not look at Workforce equality, diversity and inclusion during this assessment. The score for this quality statement is based on the previous rating for Well-led.

The regional director told us the provider had developed an action plan in response to the concerns raised in July 2024 which set out how, when and by whom necessary improvements would be made. We saw that the action plan was continuously monitored to ensure targets for the completion of improvements were being met.

The provider’s quality monitoring systems helped ensure people received safe, good quality care which was designed to meet their individual needs. Key aspects of the service, such as medicines, IPC and care plans, were audited regularly. Policies and procedures were understood by staff and regularly reviewed. Information was stored appropriately and records were accurate and up to date. The service had recently moved from paper to electronic records, which had been a challenging but beneficial piece of work.

We did not look at Partnerships and communities during this assessment. The score for this quality statement is based on the previous rating for Well-led.

The registered manager told us they completed daily walkarounds of the home and said any issues identified were discussed in morning stand-up meetings attended by all nurses and heads of departments.

The provider’s processes ensured learning was taken from incidents and shared with staff to improve outcomes for people.