What the CQC found at Davers Court

People and relatives spoke positively about the permanent care staff. Inspectors saw staff explaining what they were doing and respecting people's privacy.

“Staff spoke to people in a kind and respectful way, we observed that they knocked on people's door before entering their bedroom and took their time to explain to people what they were doing.” from the report

Care plans recorded people's needs, wishes, likes and dislikes. People were supported to make choices about their daily lives.

“Care plans were person-centred way and reflected peoples wishes. They were highly individualised and celebrated people's strengths and characteristics.” from the report

Medicines were stored and administered through clear systems. Staff training and checks were in place, and the medicines sampled matched the records.

“We checked a sample of medicines and found that they tallied with the records.” from the report

People could take part in organised and spontaneous activities inside the home and in the local community. Staff also helped people stay in contact with loved ones.

“There was a good range of both spontaneous and organised events.” from the report

The home had staffing vacancies and depended on agency staff. This affected consistency because some staff did not know people, their routines or their communication needs well.

“There was enough staff on duty, but the staff did not always know people well as the service had a high number of staffing vacancies and was dependent on agency staff.” from the report

Night audits were not regular, and management walk-rounds had become less frequent. The quality systems had not fully considered the wider effect of agency staffing on care.

“Night audits were not taking place regularly and had not been increased to take account of the services dependency on agency staff.” from the report

Inspectors found errors involving agency staff giving medicines. The arrangements for agency staff using the electronic medicines system were not clear, although the manager strengthened them during the inspection.

“We saw that there had been errors by agency staff administering medication, but agency staff did not have specific training on the providers medication system.” from the report

Some people eating outside the dining room needed more support and encouragement. The manager agreed to review this.

“We observed some people in their bedrooms and in other communal areas who would have benefited from more support and encouragement.” from the report

Staff said they would benefit from more dementia care training. Most staff had completed only the initial dementia training, and more comprehensive training was planned.

“The training matrix showed that the majority of staff had only completed initial training on dementia care.” from the report