CQC report explained · a nursing home
What the CQC found at Davenham Hall Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, March 2021
Davenham Hall Nursing Home was inspected but not rated; inspectors found strong infection prevention and control measures.
Inspectors visited the home on 5 March 2021. This was an announced, targeted inspection during the coronavirus pandemic. They looked at infection prevention and control measures, rather than carrying out a full inspection of all areas of care.
Inspectors found the home was clean and hygienic. Staff used personal protective equipment, visitors had checks before entering, and people and staff had regular COVID-19 testing. New admissions were tested and isolated after admission.
The inspection found the home was meeting the infection control measures checked. The home was inspected but not rated, so this report does not give an overall Good, Requires Improvement or other quality rating.
Clean environment
The home had enhanced cleaning arrangements intended to reduce the spread of infection.
“The environment was clean and hygienic with an enhanced cleaning schedule in place to minimise the spread of infection.” from the report
Testing and admission checks
People living in the home and staff were tested regularly. New residents were tested before admission and isolated afterwards.
“People newly admitted to the service were tested appropriately for COVID-19 prior and had a period of isolation after admission to mitigate the risk of COVID-19.” from the report
PPE and visitor checks
Staff used appropriate PPE, including extra PPE during personal care. Visitors had temperature and symptom checks before entering.
“All visitors to the service had checks on their temperature taken prior to entry and where required to declare any recent symptoms or previous test results in line with current COVID-19 guidelines.” from the report
Inspectors raised no specific concerns in this report.
- 01How have your infection prevention and control arrangements changed since the inspection on 5 March 2021?
- 02What testing and visiting arrangements are currently in place for residents, staff and visitors?
- 03How do you manage isolation and testing when someone is newly admitted?
- 04How do you make sure PPE is used safely during personal care?
- 05What was the outcome of the most recent full inspection covering care, staffing and management?
This was a targeted inspection of infection prevention and control during the coronavirus pandemic; the service was inspected but not rated and the other areas were not assessed. This explanation was written from the published report of 18 March 2021 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.
What inspectors found, November 2018
Davenham Hall Nursing Home was rated Good; inspectors found safe, kind and personalised care, with some staffing and supervision issues to monitor.
This was a planned inspection over two days. One day was unannounced and the other was announced. Inspectors spoke with people living in the home, relatives, managers and staff. They reviewed care records, medicines records, training records and safety checks.
Inspectors found a calm and homely service. People were treated kindly and with respect. Staff knew people's preferences and supported their care, health, nutrition and daily choices. Medicines, risks, equipment and infection control were managed safely.
The home had recently refurbished areas, including its specialist dementia unit. Inspectors found effective management and quality checks. They also noted mixed views about staffing and that staff did not attend regular one-to-one supervision, although plans were in place to improve this.
The overall rating and all five question ratings were Good. This means the inspectors found the service met the expected standards at the time of these visits. The previous inspection, published in January 2016, was also rated Good.
Kind and respectful care
Staff built warm, familiar relationships with people. Inspectors saw people being treated with compassion and respect.
“People were treated with kindness, compassion and respect.” from the report
Safe medicines and risk management
Risks were assessed and plans were in place to reduce harm. Medicines records were completed correctly and medicines were managed safely.
“Medicines were managed and stored safely by appropriately trained staff.” from the report
Personalised support
Staff knew people's likes, dislikes and preferred routines. Care was planned around individual needs and choices.
“The care people received was person centred and based on their individual needs.” from the report
Positive leadership
People, relatives and staff described managers as approachable and supportive. The home used audits, feedback and incident reviews to improve care.
“There was an open-door policy at the service whereby the registered manager and other senior staff positively encouraged feedback from people, family members and staff.” from the report
Some people felt staff were overstretched
needs fixingFeedback about staffing was mixed. One person said they were sometimes still in bed late because staff were too busy.
“Staff seem overstretched, sometimes [name] is still in bed at 11am because [staff] are too busy” from the report
Regular staff supervision was not happening
needs fixingStaff did not attend regular one-to-one supervision. The manager knew this needed attention and had plans to provide it.
“Staff did not attend regular one to one supervision, however they described on-going support they received enabled them to discuss their work concerns or leaning development when needed.” from the report
Some people had to ask for drinks
minorMost people were supported with food and drinks, but one person said they sometimes had to remind staff to provide drinks.
“Sometimes I have to chase staff fir drinks.” from the report
- 01How do you make sure staffing levels are sufficient at busy times, including mornings?
- 02Are staff now receiving regular one-to-one supervision, and how is this recorded?
- 03How do you check that every person receives enough drinks throughout the day?
- 04What changes have been made to the dementia unit and its activities since the inspection?
- 05What improvements have been made since the inspection in September and October 2018?
This was a planned comprehensive inspection of the care provided and the premises, covering all five CQC questions and the overall rating. This explanation was written from the published report of 13 November 2018 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.
Every inspection of Davenham Hall Nursing Home
2 rated inspections over 3 years: the service has held its Good rating throughout.
- March 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- November 2018Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2013
Report published without a new overall rating.
- March 2013
Report published without a new overall rating.
- February 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 21 January 2011.
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.
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