12 September 2022
During an inspection looking at part of the service
Donnington House Care Home is a care home providing personal and nursing care to up to 28 people in one adapted building. The service provides support to people with health care needs, Parkinson’s disease and frailty of age. At the time of our inspection there were 19 people using the service.
People’s experience of using this service and what we found
The provider did not have effective oversight or scrutiny of the service. Aspects of leadership and governance were not effective in identifying some of the concerns found. The service worked with other agencies. People views were sought about the service they received.
People told us they felt safe and systems and processes protected people from avoidable harm. People received their medicine safely. Risks to people were assessed and mitigated. Infection prevention and control processes protected people form the risk of infection.
People’s nutritional needs were met, and people were complementary about the meals. Staff felt supported and had access to training. People told us the staff were kind and compassionate. We observed positive interactions between people and staff.
People received compassionate and person centred support. There were enough staff to meet people’s needs. People told us staff responded promptly to their care needs and when they required support. Registered nurses ensured people’s nursing needs were met. People received compassionate and dignified end of life care in line with their needs and wishes.
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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 1 June 2019).
Why we inspected
This inspection was prompted by a review of the information we held about this service.
We 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.
We received concerns in relation to risk management, deprivation of liberty under the terms of the Mental Capacity Act 2005, responding to complaints and the management and governance of the service. As a result, we undertook a focused inspection to review the key questions of safe, effective, responsive and well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
The overall rating for the service has changed from good to requires improvement based on the findings of this inspection.
We have found evidence that the provider needs to make improvements. Please see the safe, effective, responsive and well-led sections of this full report.
You can see what action we have asked the provider to take at the end of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Donnington House Care Home on our website at www.cqc.org.uk.
Enforcement
We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.
We have identified breaches in relation to the management of the service at this inspection.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.