CQC report explained · a residential care home
What the CQC found at Douglas Court
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Requires improvement
- Inspectors were assured about infection prevention, including PPE, testing, cleaning, safe admissions and managing outbreaks. The provider also said it had measures to reduce risks from COVID-19-related staffing pressures.
- 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?
- Good
- This was not assessed in this targeted inspection.
What inspectors found, March 2022
Douglas Court was inspected but not rated; inspectors found strong infection control measures during a COVID-19 outbreak.
Inspectors made an unannounced, targeted visit on 16 February 2022. They looked at infection prevention and control and asked about staffing pressures linked to COVID-19.
They were assured that the home was managing infection risks. This included visitor checks, testing, personal protective equipment, cleaning, safe admissions, isolation and staff cohorting.
The home provided a garden visiting pod and another safe visiting area. The inspection did not give a new overall rating or a rated score for Safe.
Infection checks
Visitors and staff were checked for symptoms, and people living in the home had their temperatures checked twice a day.
“all staff and the visitors had their temperature checked automatically upon entering the building” from the report
Protective equipment
The home had PPE and hand-sanitising stations. Visitors had to take a lateral flow test and wear protective equipment.
“The provider had installed PPE stations in the reception and all around the building, including an automatic hand sanitising station.” from the report
Outbreak management
During the COVID-19 outbreak, the home used isolation and separated groups of staff to reduce infection spread.
“During the active outbreak of COVID-19, the provider put measures in place to reduce the spread of the infection.” from the report
Safe visiting
Families and friends could use a visiting pod in the garden or a safe visiting space in the conservatory.
“The provider had installed a visitor's pod in the garden which meant that families could have a comfortable, relaxed visit without risk.” from the report
Inspectors raised no specific concerns in this report.
- 01What infection control measures are in place now, and how have they changed since the February 2022 outbreak?
- 02How does the home manage staffing pressures when staff are absent because of COVID-19?
- 03Are visitors still required to have checks, testing or protective equipment, and can visits take place in the visiting pod or conservatory?
- 04How does the home manage isolation and staff cohorting if there is another infection outbreak?
- 05What are the current ratings for Effective, Caring, Responsive and Well-led, given that this inspection did not assess them?
This was an unannounced targeted inspection of infection prevention and control and COVID-19-related staffing pressures; it did not assess the other four key questions or provide a new overall rating. This explanation was written from the published report of 10 March 2022 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, April 2021
Inspected but not rated; inspectors found strong infection-control arrangements during the COVID-19 pandemic.
This was an unannounced, targeted inspection on 18 March 2021. Inspectors looked at how the home prevented and controlled infection during the COVID-19 pandemic.
Inspectors were assured that the home used personal protective equipment safely, followed social distancing and shielding rules, tested people and staff, and had arrangements for preventing and managing outbreaks.
The home had a garden visitors pod and another visiting area in the conservatory. Staff had infection-control training, extra PPE stations were available, and whiteboards helped people communicate while staff wore face masks.
The service was inspected but not rated. This report does not give an overall quality rating or ratings for the other four questions.
Safer family visits
The home had created a garden visitors pod and a safe visiting space in the conservatory.
“The provider had installed a visitors pod in the garden which meant that families could have a comfortable, relaxed visit without risk.” from the report
PPE and infection training
Staff had training in using PPE and COVID-19 infection control. Inspectors saw PPE being used in line with current guidance.
“Staff had received training in donning and doffing personal protective equipment (PPE), and we saw this was accessible throughout the home and staff used it in accordance with the most up to date guidance.” from the report
Infection-control planning
The home had an up-to-date infection-control policy, supporting policies and audits showing that actions had been taken.
“The infection control policy was up to date. We reviewed audits which reflected actions had been taken to maintain the standards within the home.” from the report
Communication support
Whiteboards were used to help people communicate with staff and visitors when face masks made communication difficult.
“People had found communication difficult with face masks on, but the whiteboards had helped to support this.” from the report
Inspectors raised no specific concerns in this report.
- 01How are visits arranged now, and is the visitors pod or another safe visiting space still available?
- 02How do you make sure staff continue to use PPE correctly and have up-to-date infection-control training?
- 03How are new admissions tested and kept safe from infection?
- 04What arrangements are in place to prevent and manage an infection outbreak?
- 05What other CQC ratings or more recent inspection findings should we consider for care, staffing and management?
This was an unannounced targeted inspection of infection prevention and control during the COVID-19 pandemic; it did not assess the other four key questions and the service was not rated. This explanation was written from the published report of 2 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.
Every inspection of Douglas Court
2 rated inspections over 3 years: the service has held its Good rating throughout.
- March 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- April 2021Inspected but not ratedSafe: Inspected but not rated
- January 2020Goodstayed GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2014
Report published without a new overall rating.
- November 2012
Report published without a new overall rating.
- January 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 7 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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78 live-in carers within about an hour of Derby
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Most charge £1,020 to £1,260 a week. 62 can care for a couple. 12 years' experience on average.
“We particularly appreciate the companionship Dawn gives in the evenings when she plays cards and Scrabble with my mother.”
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