What the CQC found at Dalemain House

People and relatives told inspectors that staff treated them well and that they felt safe.

“People and their relatives told us staff treated them well and that they felt safe with them.” from the report

Inspectors found enough staff to support people safely. Recruitment included references and Disclosure and Barring Service checks.

“Staff were safely recruited following a robust recruitment process, which included references and Disclose and Barring Service Checks.” from the report

Medicines were stored, handled and disposed of safely. Staff who administered them were trained and competent.

“Medicines were stored and managed safely. Medication was administered by staff who were trained and competent to do so.” from the report

Inspectors were assured about infection prevention, protective equipment, testing, visiting arrangements and the management of possible outbreaks.

“We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed.” from the report

The management team was described as honest and transparent during the inspection and sent an action plan afterwards.

“The deputy manager and nominated individual were honest about some of these issues, and took immediate action to improve these areas” from the report

Some care records and risk assessments were missing information or contradicted each other. This could make it harder for staff to understand and manage people's risks.

“Some people's risk assessments contained conflicting information, which made them confusing in parts.” from the report

Records of accidents and incidents were not always examined closely enough to show that lessons had been learned. One incident was not reported to CQC when it should have been.

“We could not always be sure lessons had been learnt from the information recorded and this needed to be improved.” from the report

Personal emergency evacuation plans had been reviewed, but some did not state what equipment people would need to leave the building.

“Some information was missing from the PEEPs, such as what equipment people would need to evacuate the building.” from the report

The provider's checks were not effective enough to identify problems in care records and risk assessments. This was a breach of Regulation 17.

“There was no evidence people had been harmed, however the provider had failed to ensure there were effective governance, records, and quality assurance measures in place.” from the report

There was no registered manager in post at the time of the inspection. The report says a new manager had been appointed and planned to register with CQC.

“At the time of our inspection there was not a registered manager in post.” from the report