Douglas Bank Nursing Home

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• 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

There was no registered manager at the time of the assessment. The regional manager had submitted an application to become the registered manager until the manager's application to become the registered manager had been submitted and processed. For this key question, we assessed 2 quality statements relating to capable, compassionate and inclusive leaders and governance, management and sustainability. We found the provider to be in breach of regulation in relation to Governance. Quality assurance processes in place were not always effective as shortfalls found were either not identified or not progressed in a timely way. There was a clear management structure with easily identifiable lead roles. People and relatives spoke positively about the way the service was managed and the manager's leadership style. The approachability of the provider had been praised. Staff told us they felt valued and respected at work and were confident they were supported by a caring leader. Feedback from relatives included, "We have great communication with the management, they keep us well informed. [Manager] has regular meetings,”

This service scored 39 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

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

Staff told us the manager was knowledgeable and worked effectively with all the staff. One staff member told us, " A great manager, things have got so much better with (Manager) here." Feedback from relatives was also positive. One relative commented, "We have great communication with the management, they keep us well informed. [Manager] has regular meetings

We observed management were visible within the home and knew people well and were knowledgeable on people and their likes and support needs. We observed and took part in open and transparent conversations which promoted their integrity. The provider had policies to support staff to speak up, raise concerns, drive improvement and keep people safe. The provider provided staff with a handbook that guided staff on what was expected of them and what they could expect from their employer.

We did not look at Freedom to speak up during this assessment. The score for this quality statement is based on the previous rating for Well-led.

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 provider worked with partners in care to ensure continuity of care was embedded to keep people safe. The had a weekly ward round with health professionals which built positive relationships with people living at Douglas Bank. The provider had recruited extra staff to cover for staff holidays and sickness while providing a continuity of care. Staff told us the manager was knowledgeable and worked effectively with all the staff. Feedback from relatives was also positive. One relative commented, "We have great communication with the management, they keep us well informed. [Manager] has regular meetings

There was a clear management structure with easily identifiable lead roles. People and relatives spoke positively about the way the service was managed and the manager's leadership style. The provider had set up systems to check the quality of the service. The management team carried out audits and checked the standards and quality of the service. however, some of the medicine concerns had not been identified by the provider. We observed management were visible within the home and knew people well and were knowledgeable on people and their likes and support needs. We observed and took part in open and transparent conversations which promoted their integrity. The provider had policies to support staff to speak up, raise concerns, drive improvement and keep people safe. The provider provided staff with a handbook that guided staff on what was expected of them and what they could expect from their employer.

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.

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