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CQC report explained · a residential care home

What the CQC found at Digby Manor Residential Care Home

Goodpublished 21 March 2019, 7 years ago

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

The five questions inspectors ask
Safe?
Good
People were described as safe, with enough staff and safe medicine arrangements. Risk assessments were in place, but inspectors said some risk assessments and emergency evacuation plans needed more regular review.
Effective?
Good
People received care based on assessments, had access to health professionals and were supported with food and drink. Some food and fluid records did not contain enough detail, although the home provided evidence after the inspection that this had been addressed.
Caring?
Good
People and relatives said staff were kind and caring, and inspectors observed attentive and respectful interactions. Privacy and dignity were not always protected in shared bedrooms.
Responsive?
Good
Care was personalised and people had access to varied activities and entertainment. Inspectors said care plans and daily records needed more regular evaluation to show people's wellbeing.
Well-led?
Good
The home had a positive culture, regular audits and ways for people, relatives and staff to give feedback. Inspectors found the management team understood its responsibilities and worked effectively.
The latest report, explained

What inspectors found, March 2019

Digby Manor Residential Care Home was rated Good; inspectors found kind, safe care, but shared bedrooms did not always protect privacy and dignity.

This was the first inspection since the home was registered in 2017. It was an unannounced, planned comprehensive inspection on 6 March 2019. The inspector spoke with people, relatives, visitors, staff and visiting professionals, and checked care, medicine and staff records.

All five areas were rated Good: safe, effective, caring, responsive and well-led. Inspectors found enough staff, safe medicine arrangements, suitable training, good links with health professionals and a lively programme of activities.

There were some areas to improve. Three shared bedrooms did not provide enough privacy or personal space, and the inspector recommended reviewing their use. Some care and risk records needed more regular reviews. The home said several recording issues would be addressed after the inspection.

What inspectors praised
  • Kind and attentive staff

    People and relatives were very positive about the care. Inspectors observed staff responding promptly and kindly to people's requests.

    “We observed all staff interaction with people was attentive, kindly, encouraging and appropriate.” from the report
  • Safe staffing and medicines

    People, relatives and staff said there were enough staff. Medicines records were clear, and staff were trained and checked as competent before giving medicines.

    “Medicines records were clear and accurate.” from the report
  • Good activities and atmosphere

    The home offered varied activities and entertainment, with people joining in or watching as they wished. Inspectors saw a lively and stimulating atmosphere.

    “A lively, energetic and stimulating atmosphere was observed.” from the report
  • Good management and feedback

    The management team used audits, meetings, surveys and other feedback to monitor the service and involve people and relatives.

    “Regular audits were completed to monitor service provision and to ensure the safety of people who used the service.” from the report
What inspectors were concerned about
  • Shared bedrooms

    needs fixing

    Some people shared bedrooms, and the rooms did not provide enough privacy or a place to spend time alone. The inspector recommended that the provider reconsider their use.

    “People did not have their privacy or a place where they could spend time on their own if they wanted their own space.” from the report
  • Risk and evacuation reviews

    needs fixing

    Inspectors said risk assessments and personal emergency evacuation plans needed more regular review. The home said this would be addressed, and provided evidence after the inspection that the evacuation plans had been updated.

    “People's Personal Evacuation Plans, (PEEPS) contained information about people's mobility, if people needed to be evacuated from the building in an emergency. They needed more regular review.” from the report
  • Food and fluid records

    needs fixing

    Fluid charts did not include daily totals, and food charts did not say what people had eaten. The home provided information after the inspection showing this had been addressed.

    “However fluid charts did not include daily totals and food charts did not include details of what people had eaten.” from the report
  • Dining room presentation

    minor

    Tables were not well set for a positive dining experience, and soothing music was not available to encourage people who might be reluctant to eat.

    “Tables however, were not well-set to make it a positive visual dining experience for people as they ate their meal.” from the report
Questions to ask them, based on this report
  1. 01How many shared bedrooms are currently in use, and how will my relative's privacy and personal space be protected?
  2. 02How often are risk assessments and personal emergency evacuation plans reviewed now?
  3. 03How are food and fluid records checked to make sure they include daily totals and details of what people have eaten?
  4. 04How often are care plans and daily records evaluated to show changes in a person's wellbeing?
  5. 05What changes have been made to the dining room since the inspection?

This was an unannounced, planned comprehensive inspection covering all five CQC questions; it was the first inspection since the home was registered in 2017. This explanation was written from the published report of 21 March 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.

The story over the years

Every inspection of Digby Manor Residential Care Home

Each visit the CQC has published, newest first, back to the day the home was registered.

  1. March 2019Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Digby Manor Residential Care Home →

  2. March 2017

    Registered with the Care Quality Commission on 6 March 2017.

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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