- Care home
Denison House Care Home
Report from 9 July 2024 assessment
Contents
Ratings
Our view of the service
Denison House Care Home is a care home providing accommodation for adults with dementia, mental health conditions, and physical disabilities who require nursing or personal care. The service can support up to 31 people. At the time of our assessment there were 26 people receiving a service. We previously completed a targeted inspection under our old methodology on 28 January 2022 when we assessed infection prevention and control. No change to the overall rating of Good was made during that inspection. We completed this responsive assessment under our new methodology. The assessment was prompted in part due to concerns received about the safe care and treatment of people. A decision was made for us to assess and examine those risks. This inspection was completed by 2 inspectors, 1 medicine inspector, and 1 Expert by Experience. We visited the service on 2 and 8 July 2024. We spoke with 7 people who lived at the home and 6 relatives. We spoke with 6 staff including care, and senior staff, the acting manager, and deputy manager. We received feedback from 1 health professional. We found the service had deteriorated. We identified 2 breaches of regulation associated with good governance, premises and equipment. Other areas requiring improvement were found in the management of people’s medicines and associated person centred care. At the time of our inspection there was a manager in post who had submitted their application to register with the CQC. We have asked the provider for an action plan in response to the concerns found at this assessment.
People's experience of this service
The majority of people and relatives told us staff were kind and caring and knew people well. People told us staff were responsive but not all people and relatives felt they were supported to enjoy hobbies, interests and everyday activities. People told us there was little of interest to do in the daytime. Many told us they remained in their rooms and watched their televisions; however, it was evident that not everybody had a working television with on going repairs pending for one person. There was a new manager in post and people told us they would be happy to raise any concerns with them and that they were keen to improve the home. People said the manager actively engaged with them during resident meetings to hear their feedback about how the service could improve. However, relatives and people raised concerns that repeated changes in management failed to implement required changes to improve their wellbeing. People told us staff kept their rooms clean but told us they were unable to access the large outdoor garden area to the rear which was not maintained and shared their frustrations that the passenger lift had been out of order since October 2023, necessitating the use of a chair lift which they did not all like to use. Overall people told us they felt safe with the service and the staff who supported them. They told us they felt involved with the care they received and that this was reviewed as their needs changed. People were happy with meal time arrangements and told us staff were kind, attentive, and responsive.