Background to this inspection
Updated
24 November 2021
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was carried out by one inspector.
Service and service type
Dovehaven Nursing Home 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.
Notice of inspection
This inspection was unannounced on the first day of inspection and announced on the second day.
What we did before the inspection
We reviewed information we had received about the service. We sought feedback from the local authority and professionals who work with the service. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. This information helps support our inspections. We used all this information to plan our inspection.
During the inspection
We spoke with fifteen people who used the service and a relative about their experience of the care provided. We spoke with seven members of staff including members of the quality and compliance team, the registered manager, the operations manager and a nurse. We also undertook a tour of the building and observed the delivery of care and support provided to people throughout the day.
We reviewed a range of records. This included multiple medication records and five people’s care records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the safety of the environment and the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We spoke with five relatives to help us understand their experience of the care and support their loved one received. We also spoke with two members of care staff.
Updated
24 November 2021
About the service
Dovehaven Nursing Home is a residential care home providing personal and nursing care to 26 people aged 65 and over at the time of the inspection. 12 of the people being supported had been admitted from hospital for short term respite care. The service can support up to 40 people. The service is situated in a converted Victorian dwelling and accommodation is over 3 floors.
People’s experience of using this service and what we found
Since the last inspection under the previous provider, the registered manager had worked hard to help create an effective governance framework to ensure that quality performance, risks and regulatory requirements were understood by staff and focused on achieving good outcomes for people.
Staff understood how to protect people from abuse and recruitment processes ensured new staff were suitable to work with vulnerable people.
Systems were in place to help identify risk to people and ensure that any risks were managed and mitigated effectively.
Staff had been trained and had their competency checked, to enable them to perform their role.
Infection control was well managed, and the home was clean and well maintained. Visiting was facilitated in a safe way to ensure people’s well-being was promoted by maintaining relationships that were important to them.
People and their relatives told us they were happy with the care and support provided by staff. People were treated in a person-centred way which helped protect their dignity and promote their independence.
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.
The service had a relaxed and welcoming atmosphere. We witnessed warm and positive interactions between staff and the people they supported.
Although the service had received some complaints, they had originated from people who had been admitted for respite care. Processes were in place to ensure complaints were handled appropriately.
Rating at last inspection
This service was registered with us on 19 July 2021 and this is the first inspection.
The last rating for the service under the previous provider was Requires improvement, published on 18 May 2021.
Why we inspected
The inspection was prompted in part due to concerns about complaints received about the care and support received at the service. A decision was made for us to inspect and examine those risks.
We found no evidence during this inspection that people were at risk of harm from this concern.
We also 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 COVID-19 and other infection outbreaks effectively.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.