Daneside Court Nursing Home

Updated 29 July 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

Daneside Court 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.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

We used all of this information to plan our inspection.

During the inspection

We spoke with five people who used the service. We spoke to five staff including the area director, registered manager, care assistants and housekeepers. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us. We looked at five care plans and risk assessments.

After the inspection

Due to the impact of the COVID-19 pandemic we limited the time we spent on site. Therefore, we requested records and documentation to be sent to us and reviewed these off site and continued dialogue with the manager by email. We contacted two relatives about their experience of the care provided and contact with two registered nurses employed by the service and two care assistants.

Updated 29 July 2021

About the service

Daneside Court is a residential care home providing personal and nursing care to 47 people aged 65 and over at the time of the inspection. The service can support up to 64 people. The care home accommodates people in purpose-built premises over two floors.

People’s experience of using this service and what we found

The nutritional needs of people were now better recorded and dining experiences for people had improved through regular checks by the registered manager. People were satisfied with the food provided but when issues were raised; these were dealt with promptly.

Systems used to monitor the quality of care provided were more effective with actions being identified and addressed in a timely manner. Staff considered that the registered manager was supportive and approachable. People told us that they knew who the registered manager was and they had regular contact with them. Relatives told us that the service was well-run and transparent.

People told us they felt safe living at Daneside Court. For those who could not express a view, observations found people were relaxed and comfortable with the staff team at all times. The recruitment of permanent registered nurses had been achieved and there were sufficient suitably recruited and trained staff available to respond to people’s needs. Robust measured were in place to mitigate the risk of people being infected by COVID-19 and relatives commented that despite their concerns about the health of their relations during the pandemic; the service had kept them safe.

People and relatives told us that the staff team were knowledgeable about their needs and sought to prevent adverse health conditions developing further through prompt contact with other medical professionals. The design of the building assisted people to mobilise independently and signage assisted with their orientation.

Care plans were person-centred and included the health and social needs of each person. People and relatives told us that they knew how to make a complaint and any received were responded to promptly. The wishes of people reaching the end of their lives and relatives were recorded and respected.

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 (and update)

The last rating for this service was requires improvement (published 14 January 2020) and there was a breach of a regulation relating to good governance and nutrition. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of this regulation.

Why we inspected

This was a planned inspection based on the previous rating.

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 reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

The overall rating for the service has changed from Require Improvement to Good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Daneside Court on our website at www.cqc.org.uk.

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.