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CQC report explained · a residential care home

What the CQC found at Doveridge Care Home

Outstandingpublished 18 July 2019, 7 years ago

Rated Outstanding: inspectors found the home performing exceptionally well.

The five questions inspectors ask
Safe?
Good
Inspectors were assured about infection prevention and control. They found appropriate use of protective equipment, testing, visitor screening, cleaning, social distancing and admission arrangements.
Effective?
Outstanding
This area was not assessed in this targeted inspection.
Caring?
Outstanding
This area was not assessed in this targeted inspection.
Responsive?
Outstanding
This area was not assessed in this targeted inspection.
Well-led?
Outstanding
This area was not assessed in this targeted inspection.
The latest report, explained

What inspectors found, March 2021

Inspected but not rated; inspectors found strong infection control and thoughtful support for people and families during COVID-19.

Inspectors visited on 17 March 2021. This was an announced, targeted inspection focused on infection prevention and control during the coronavirus pandemic.

They found the home was clean and well maintained. Staff used protective equipment correctly, followed infection control guidance, supported testing and social distancing, and screened visitors.

The home also helped people keep in touch with relatives when visits were restricted. Staff arranged messages, photographs, socially distanced visits and extra activities to reduce isolation.

The home was inspected but not rated. This means the visit did not provide an overall quality rating or a rated judgement across all five areas of care.

What inspectors praised
  • Infection control training

    Staff had received relevant training and followed current infection prevention guidance. Inspectors were assured that protective equipment was used safely.

    “Staff had received infection control training and followed up to date infection prevention and control guidance to help people stay safe.” from the report
  • Visitor safety

    Visitors were screened and tested before visits, and were expected to use suitable protective equipment.

    “All visitors were screened for any signs or symptoms of COVID 19 and underwent Covid 19 testing prior to their visit.” from the report
  • Family contact

    When visits were restricted, staff found different ways for people to stay connected with relatives, including messages, photographs and socially distanced visits.

    “Staff found individual ways to support relatives to stay in touch.” from the report
  • Activities and wellbeing

    The home recruited two extra activity co-ordinators to provide more individual and small-group activities and help prevent isolation.

    “To support people's mental and physical wellbeing and prevent isolation, two additional activity co-ordinators had been recruited.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01What infection prevention and control arrangements are in place now, and how are staff trained?
  2. 02How are visitors currently screened, tested and supported to use protective equipment?
  3. 03How will you help my relative keep in touch with family if visits are restricted?
  4. 04What activities are available for people who may be living with dementia, including one-to-one support?
  5. 05What are the home's current ratings for caring, responsiveness, effectiveness and leadership?

This was an announced, targeted inspection of infection prevention and control under Safe; it did not rate the service overall or the other four questions. This explanation was written from the published report of 31 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.

An earlier report, explained

What inspectors found, July 2019

Doveridge Care Home was rated Outstanding overall; inspectors found exceptional care, activities and leadership, with safety rated Good.

This was an unannounced inspection on 30 and 31 May 2019. One inspector and an Expert by Experience spoke with people living in the home, relatives, staff and a visiting professional. They also checked care records, medicines records, staff files, rotas and management records.

People and relatives were overwhelmingly positive. Inspectors found enough staff, safe recruitment, suitable training and generally safe medicines arrangements. Staff knew people well and supported their health, choices, relationships, interests and end of life wishes.

The home was rated Outstanding overall. Effective, caring, responsive and well-led were Outstanding. Safe was rated Good, meaning people were safe and protected from avoidable harm, but the service did not meet the highest rating in this area.

What inspectors praised
  • Kind and compassionate care

    Staff were described and observed as exceptionally kind, respectful and attentive. They supported both residents and relatives during difficult times.

    “People told us that staff showed exceptional care and compassion to relatives and friends as well as the people who lived there.” from the report
  • Personalised support

    Staff found out about people's past lives, preferences and abilities, then used this information to shape care and daily activities.

    “Staff took great care to make sure people received support and care which met their individual needs.” from the report
  • Strong staff development

    Staff had specialist roles in areas such as nutrition, diabetes, oral care and end of life care. They shared their knowledge with colleagues.

    “There was a strong emphasis on staff development with a specific aim to improve the care of people living in the home.” from the report
  • Effective leadership

    The management team was visible, supportive and focused on learning and improvement. Inspectors found regular checks on care, medicines and other aspects of the service.

    “The provider and registered manager had a range of checks and audits in place to constantly monitor and improve all areas of the service.” from the report
What inspectors were concerned about
  • One missed medicine dose

    serious

    A person missed a dose that had to be given at a particular time. The mistake was found quickly and an alarm was introduced, but this shows the importance of asking how time-critical medicines are monitored.

    “A person missed a medication dose prescribed to be administered at a specific time of the day.” from the report
Questions to ask them, based on this report
  1. 01How are medicines that must be given at a specific time monitored, and have there been any further missed doses?
  2. 02The report says 18 applications for DoLS authorisation were pending. What was the outcome of those applications?
  3. 03How many staff are on duty at different times of day, particularly during the additional morning shift introduced for nutrition and hydration support?
  4. 04How are each resident's wish list, activities and personal interests recorded and reviewed?
  5. 05How are residents and relatives involved in reviewing care plans and raising concerns?

This was an unannounced inspection covering all five key questions, including the premises and care provided; the previous inspection was in August and September 2016. This explanation was written from the published report of 18 July 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 Doveridge Care Home

2 rated inspections over 3 years: the service has held its Outstanding rating throughout.

  1. March 2021Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Doveridge Care Home →

  2. July 2019Outstandingstayed Outstanding
    Safe: GoodEffective: OutstandingCaring: OutstandingResponsive: OutstandingWell-led: Outstanding

    Read what inspectors found at Doveridge Care Home →

  3. November 2016Outstanding
    Safe: GoodEffective: OutstandingCaring: OutstandingResponsive: GoodWell-led: Outstanding

    Read this report on cqc.org.uk

  4. November 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. February 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. January 2011

    Registered with the Care Quality Commission on 4 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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