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CQC report explained · a residential care home

What the CQC found at Daisy Nook House

Goodpublished 18 November 2022, 3 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
People said they felt safe. Risk assessments were comprehensive and regularly reviewed, safety checks were up to date, and medicines and infection control were managed safely.
Effective?
Good
People's needs and health were assessed and supported. Staff had suitable induction, training and support, and people's nutritional needs and food preferences were met.
Caring?
Good
Inspectors observed kind, caring, compassionate and respectful support. People were involved in decisions, and their privacy, dignity, independence and individuality were respected.
Responsive?
Good
Care records were detailed and person-centred, with regular reviews. The home offered activities, supported visits and relationships, met communication needs and had a complaints system.
Well-led?
Good
The home had detailed audits and quality checks, with issues addressed when found. People, relatives and staff spoke positively about the management, communication and open culture.
The latest report, explained

What inspectors found, November 2022

Rated Good; inspectors found safe, kind and personalised care, with occasional short staffing reported.

Inspectors visited on 17 and 19 October 2022. The first day was unannounced. They spoke with people living in the home, relatives and staff, observed care, toured the building and checked care, medicines, recruitment, safety and management records.

The home was rated Good overall and Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found people felt safe, staff were kind and respectful, care plans were detailed, and people's health, food, activities and relationships were supported.

The home had enough staff during the inspection and medicines were managed safely. Some staff said the home was short staffed at times when someone could not work a planned shift, although they said this did not affect care. The inspection found no breaches of regulations.

What inspectors praised
  • People felt safe

    Everyone inspectors spoke with said they felt safe. Risks were identified, reviewed and managed, and accidents were analysed for lessons.

    “Everyone we spoke with told us they felt safe living at Daisy Nook House.” from the report
  • Kind and respectful staff

    Staff knew people well and treated them with kindness, compassion and respect. People were supported to make choices and keep their independence.

    “Throughout our inspection, we observed staff to be kind, caring, compassionate and respectful.” from the report
  • Personalised care

    Care records described what mattered to each person, their communication needs and the support they preferred. People were involved in reviewing their care.

    “Care records were very detailed, person centred and had good detail about what was important to and for the person.” from the report
  • Good management and oversight

    Managers used audits, spot checks and other monitoring to oversee the home. People, relatives and staff described managers as approachable and communication as good.

    “There was a range of detailed quality monitoring, auditing and oversight in place.” from the report
  • Activities and family contact

    People had access to activities and community links, and relatives were welcomed and encouraged to visit.

    “There was a range of activities available to people.” from the report
What inspectors were concerned about
  • Occasional short staffing

    needs fixing

    Some staff said the home was short staffed on occasion, particularly when someone was unavailable for a planned shift at short notice. They said this did not affect care during the inspection.

    “Some staff members said the home was short staffed on occasion, particularly when someone was unavailable for their planned shift at short notice.” from the report
  • Survey results not yet gathered

    minor

    Recent satisfaction surveys had been completed, but the results were not available when inspectors visited. Ask how the findings were later reviewed and acted on.

    “Satisfaction surveys had recently been completed with residents and relatives, but the results had not been gathered at the time of our inspection.” from the report
Questions to ask them, based on this report
  1. 01How often has the home been short staffed since this inspection, and what happens when someone cannot work a planned shift?
  2. 02What were the results of the residents' and relatives' satisfaction surveys, and what action followed?
  3. 03How will you make sure my relative's care plan is reviewed and kept personalised as their needs change?
  4. 04What activities and community links are currently available, and how are individual interests supported?
  5. 05How will you involve my relative and our family in care decisions and reviews?

This was a first, unannounced comprehensive inspection of the newly registered home, covering all five CQC key questions and infection prevention and control. This explanation was written from the published report of 18 November 2022 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Daisy Nook House

3 rated inspections over 6 years: the service has held its Good rating throughout.

  1. November 2022Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Daisy Nook House →

  2. March 2021Inspected but not rated
    Safe: Inspected but not rated
  3. July 2019Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  4. December 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  5. August 2021

    Registered with the Care Quality Commission on 27 August 2021.

Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.

Next steps

Weigh the report against the rest

Care at home

At least 100 live-in carers within about an hour of Tameside

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Most charge £980 to £1,260 a week. 90 can care for a couple. 10 years' experience on average.

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