CQC report explained · a nursing home
What the CQC found at Dial House Nursing and Residential Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured about infection prevention and control, including visitors, PPE, testing, social distancing, hygiene and outbreak management.
- Effective?
- Good
- This was not assessed in this targeted inspection.
- Caring?
- Good
- This was not assessed in this targeted inspection.
- Responsive?
- Good
- This was not assessed in this targeted inspection.
- Well-led?
- Requires improvement
- This was not assessed in this targeted inspection.
What inspectors found, April 2021
Inspected but not rated; inspectors were assured that infection control arrangements were effective.
This was an announced, targeted inspection on 8 April 2021. It looked only at infection prevention and control during the COVID-19 pandemic.
Inspectors found checks for visitors and contractors, including health declarations, temperature checks and rapid COVID-19 tests. People could also have garden, window, screened, telephone and video visits.
The home had enough personal protective equipment, and staff were seen using it properly. Inspectors also found the home clean, fresh and well ventilated.
The service was inspected but not rated. The report gives an assurance about infection control at that visit, rather than a full overall quality rating.
Visitor safety
The home had a clear visiting process, with health checks, temperature checks and rapid testing before entry.
“The registered manager had a clear visiting procedure in place, and this was reviewed in line with government guidelines.” from the report
Contact with relatives
People had several ways to stay in contact with important people, including garden, window, screened, telephone and video visits.
“The registered manager told us that planned garden, window and screened visits continued for people to have further contact with those who were important to them.” from the report
PPE and staff support
Staff had a good supply of PPE and were seen using it properly. Extra breaks were encouraged because wearing PPE could cause tiredness.
“Staff were observed to be wearing PPE appropriately and where required.” from the report
Clean environment
The home was clean, fresh and well ventilated when inspectors visited.
“The care home appeared clean, fresh and well ventilated on the day of inspection.” from the report
Inspectors raised no specific concerns in this report.
- 01How are visitor health declarations, temperature checks and rapid COVID-19 tests managed now?
- 02Who is responsible for routine testing, staff training and sharing infection control information?
- 03How do you monitor PPE supplies, and how do you support staff if wearing PPE causes fatigue?
- 04How are garden, window, screened, telephone and video visits arranged for people who want contact with relatives?
- 05What arrangements are in place to prevent or manage an infection outbreak?
This was a targeted inspection of infection prevention and control only; the service was inspected but not rated and the other quality areas were not assessed. This explanation was written from the published report of 30 April 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, February 2019
Dial House Nursing and Residential Home is rated Good overall, but well-led Requires Improvement because quality checks and staff supervision were not consistent.
This was an unannounced, comprehensive inspection on 14 January 2019. Inspectors spoke with people living in the home, relatives, staff and a visiting health professional. They also observed care and checked care plans, staff records, medicines records, rotas, policies and audits.
The home was rated Good for Safe, Effective, Caring and Responsive. Inspectors found people were protected from harm, had enough staff, received suitable care and medicines support, and had access to health professionals. People were treated kindly, supported to make choices and given personalised care.
Well-led was rated Requires Improvement. Some quality audits had not been completed for several months. Medicines checks had failed to identify recording errors, and staff supervision and competency checks were not always completed regularly. A new manager had identified these issues and started making changes. The overall rating stayed Good, as it had been at the previous inspection in September 2016.
Kind and respectful care
Inspectors saw people being treated with kindness, respect and compassion. Staff knew people well and supported their privacy, dignity and independence.
“People were treated with kindness, respect and compassion.” from the report
Personalised support
Care plans recorded people's needs, preferences, likes and dislikes. Staff used this information when providing care.
“People received personalised care that met their individual support needs.” from the report
Safety arrangements
The home had safeguarding procedures, individual risk assessments, suitable staffing and safe recruitment checks. Call bells were answered promptly.
“Risks to people had been assessed.” from the report
Support with health and nutrition
People could access health professionals and were supported with their dietary needs and preferences.
“People were supported to eat and drink appropriately.” from the report
Quality audits were not regular
needs fixingSome audits had not been completed since June 2018. This reduced the home's ability to monitor its quality consistently.
“Audits had not been completed in recent months and were last completed in June 2018.” from the report
Medicines records had errors
seriousInspectors found medicines left in boxes that were recorded as administered, and two occasions where staff had not signed the medicines records. The audit system had not identified these issues.
“This meant that there was a risk that people had not always received their medicines correctly.” from the report
Staff supervision needed improvement
needs fixingNot all staff received regular supervision, and competency checks were not being completed in line with the provider's procedures.
“We saw in staff's files that not all staff received regular supervision.” from the report
- 01How do you check now that medicines have been given and recorded correctly?
- 02How often does each staff member receive supervision and competency checks?
- 03Which quality audits are now completed, and how are actions followed up?
- 04What progress has been made with the new manager's improvement plans?
- 05How do you make sure changes in people's needs are reflected promptly in their care plans?
This was an unannounced comprehensive inspection covering all five key questions, and the overall rating remained Good from the previous inspection in September 2016. This explanation was written from the published report of 5 February 2019 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 Dial House Nursing and Residential Home
3 rated inspections over 3 years: the service has held its Good rating throughout.
- April 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
Read what inspectors found at Dial House Nursing and Residential Home →
- February 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
Read what inspectors found at Dial House Nursing and Residential Home →
- September 2016Goodstayed GoodSafe: Requires improvement
- July 2016GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2014
Report published without a new overall rating.
- January 2014
Report published without a new overall rating.
- September 2013
Report published without a new overall rating.
- December 2012
Report published without a new overall rating.
- November 2011
Report published without a new overall rating.
- July 2011
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 30 December 2010.
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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