9 January 2024
During an inspection looking at part of the service
About the service
Dane View Care Home with Nursing is a residential care home, providing personal or nursing care to up to 41 people, some of whom are living with dementia care needs. At the time of inspection, 34 people were living at the service.
People’s experience of using this service and what we found
Right Support: The service is set in a beautiful old convent building and is well designed. There were large spaces utilised effectively for activities and other functions. The service was mostly well decorated and personalised throughout.
Staff worked alongside community health and social care professionals to ensure people received timely care.
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.
Right Care: Management of known risks to people’s health and wellbeing still required improvement. Wound and skin care management had significantly improved since our last inspection, however, we found gaps in people’s records that did not promote safe practice. There was a continued lack of guidance in place for staff regarding people’s mobility needs and risk of falls. Safe medicines practices were not always followed.
People’s assessment documents were not always fully completed, for example, food and fluid records. Feedback from people indicated they were happy with the care they received and felt it met their needs. The mealtime experience was calm and relaxed.
People were protected from risk of harm and abuse by an effective safeguarding system. People and their relatives told us they felt safe.
People were supported by enough staff who were deployed effectively. Safe recruitment processes were in place.
Right Culture: The registered manager demonstrated desire and ability to learn lessons when things went wrong, however, further improvements in relation to safe care and treatment were required. The provider had employed a group quality and compliance manager and a group operations manager to support service development.
Quality assurance processes were not always being used effectively. Senior staff were not always clear on their roles in relation to quality oversight.
The provider was proactive in ensuring staff compliance with required training. Most people and their relatives told us they felt staff were well trained and competent.
Staff spoke highly of the registered manager. Feedback from people and their relatives indicated the home was well managed.
Staff received regular supervisions. Regular staff and relative meetings took place to provide people opportunity to provide feedback.
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 inadequate (published 11 August 2023). Breaches in regulations relating to dignity and respect, consent, safe care and treatment, safeguarding service users from abuse and improper treatment, good governance, staffing, and fit and proper persons employed were identified. The provider completed an action plan after the inspection to show what they would do and by when, to improve and meet the breaches in regulation related to dignity and respect, consent, safeguarding service users from abuse and improper treatment, and fit and proper persons employed. Warning Notices were served for the breaches relating to safe care and treatment, governance, and staffing. At this inspection we found the provider remained in breach of regulations.
At this inspection we found improvements had been made. However, not enough improvement had been made and the provider remained in breach of regulations. This service has been in Special Measures since 22 Mar 2023. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.
Why we inspected
We undertook this focused inspection to check whether the Warning Notices we previously served in relation to good governance, safe care and treatment and staffing had been met. This report only covers our findings in relation to the Key Questions Safe, Effective, Caring and Well-led which contain those requirements.
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 inadequate to requires improvement. 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 Dane View Care Home with Nursing on our website at www.cqc.org.uk.
Enforcement
We have identified breaches in relation to safe care and treatment, and good governance. Please see the action we have told the provider to take at the end of this report.
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.