Background to this inspection
Updated
22 August 2020
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
This was a targeted inspection looking at the infection control and prevention measures the provider has in place. As part of CQC’s response to the coronavirus pandemic we are conducting a thematic review of infection control and prevention measures in care homes.
This inspection took place on 12 August 2020 and was announced. The service was selected to take part in this thematic review which is seeking to identify examples of good practice in infection prevention and control.
Updated
22 August 2020
About the service: The New Deanery is a residential care home that was providing personal and nursing care to 68 people aged 65 and over at the time of the inspection.
People’s experience of using this service:
People told us they felt happy and safe living at The New Deanery. People told us there was a wide range of activities and they were supported by kind, compassionate staff who took a real interest in them. People told us, and records confirmed, they were given plenty of opportunities to provide feedback about their care, and the provider acted on any concerns they raised. People spoke very highly of the standard of decoration in the home and the quality of the gardens which were well maintained and well used by people. People and relatives told us they appreciated the range of different spaces within the home where they could meet with visitors and spend time.
Some people were less positive about their experience of care, and we found this reflected the inconsistencies we found in the quality of care plans and risk assessments. Some risk assessments and care plans were less personalised, detailed and up to date and this meant there were risks that people did not always receive personalised care. Assessments did not consider the impact people's sexual and gender identity may have on their care. We have made a recommendation about this.
People told us staff supported them to attend medical appointments and to take their medicines. The provider updated medicines information in response to issues we found during the inspection.
People were supported by staff who understood the values of the organisation, and had received the training and support they needed to perform their roles. Staff felt valued and were rewarded when they demonstrated the values of the organisation.
There were various different audit and quality assurance systems in place. These had not always operated effectively and had not identified the issues we found during the inspection with medicines information and the consistency of care plans. The provider had not submitted notifications to us as required by law.
The provider worked closely with the local authority quality improvement team and other organisations to keep up to date with best practice in the field. They were piloting new technology and systems to support people to maintain their independence.
Rating at last inspection: The service was rated Good when it was last inspected in August 2016.
Why we inspected: This was a scheduled inspection.
Enforcement: Please see the end of the full version of this report for details of the actions we told the provider to take.
Follow up: We will require an action plan and will closely monitor the service. We will return to complete a further inspection in line with our published policies and procedures.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk