CQC report explained · a nursing home
What the CQC found at Doves Nest Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Requires improvement
- Inspectors were assured about most infection-control arrangements, including PPE, testing, cleaning, admissions and outbreak management. They were only somewhat assured that the infection-control policy was up to date.
- Effective?
- Good
- This question was not assessed in this targeted inspection.
- Caring?
- Good
- This question was not assessed in this targeted inspection.
- Responsive?
- Good
- This question was not assessed in this targeted inspection.
- Well-led?
- Good
- This question was not assessed in this targeted inspection.
What inspectors found, February 2022
Doves Nest Nursing Home was inspected but not rated; inspectors found strong infection-control arrangements, but had not received the up-to-date infection-control policy.
This was an announced, targeted inspection on 31 January 2022. Inspectors looked mainly at infection prevention and control, visiting arrangements and the effect of COVID-19 staffing pressures.
Inspectors were assured about visitors, social distancing, admissions, PPE, testing, cleaning and managing outbreaks. They saw staff using PPE safely, a clean home and clear cleaning routines.
The home monitored vaccination status and had plans to support people isolating. Visiting was available through booked visits, people's rooms, designated areas and the gardens.
The service was not given an overall rating or a rating for Safe. Inspectors were only somewhat assured that the infection-control policy was up to date because requested documents had not been received.
PPE and infection control
Staff used PPE safely and had been trained in infection-control practices. Supplies were kept available and disposed of correctly.
“Stocks of appropriate personal protective equipment (PPE) were well-maintained and staff used and disposed of it correctly.” from the report
Clean surroundings
Inspectors found the home clean and hygienic. Domestic staff followed routines for cleaning and laundry.
“The home was clean and hygienic looking and we saw domestic staff undertaking their cleaning and laundry duties.” from the report
Managing outbreaks
The home monitored vaccination status and had plans for people who needed to self-isolate, including extra support for people who might find isolation difficult.
“We heard how the home managed an outbreak of Covid -19 when staff and residents became infected.” from the report
Visiting arrangements
Visitors could book visits and use people's rooms, designated areas or the gardens. The report says visiting times were not restricted.
“There were also extensive gardens where visits could take place when the weather allowed.” from the report
Infection-control policy
needs fixingInspectors had not received documents they requested, so they were only somewhat assured that the infection-control policy was up to date.
“We were somewhat assured that the provider's infection prevention and control policy was up to date.” from the report
- 01Has the infection prevention and control policy now been updated, and can you explain what documents were missing at the inspection?
- 02What measures are currently in place to manage COVID-19-related staffing pressures?
- 03How would you support my relative if they needed to self-isolate during an outbreak?
- 04How do you currently manage testing, PPE and vaccination checks for staff and visitors?
- 05How would visits be arranged if my relative moved into the home?
This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19 staffing pressures; it did not rate the other four questions. This explanation was written from the published report of 16 February 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, February 2020
Rated Good overall, but inspectors found medicines processes were not always safe and rated Safe as Requires Improvement.
Inspectors visited on 14 and 15 January 2020. They spoke with people, relatives and staff, observed care, and checked care, medicine, recruitment and management records.
People were generally safe, well cared for and treated with kindness. Staffing levels, training, infection control, care planning, activities and links with health professionals were good.
The Safe rating stayed at Requires Improvement. Medicines were usually received, stored and given safely, but waste medicines were not always stored correctly and thickeners were not formally recorded. The home was asked to improve these processes.
The overall rating was Good. Effective, Caring, Responsive and Well-led were all rated Good. This was an improvement from the previous overall rating of Requires Improvement in March 2019.
Kind and respectful care
Staff supported people's dignity, privacy, independence and individual choices. Inspectors saw positive relationships between staff and people living in the home.
“Staff's approaches with people are impeccable; people are really treated with compassion.” from the report
Personalised support
Care plans included people's life histories, communication needs and preferences. Staff used this information to provide individualised care.
“Support plans included details of the person's life history, including an 'all about me' profile.” from the report
Good activities and relationships
The home offered group and individual activities, including trips out and themed events. Staff helped people maintain relationships with those who mattered to them.
“Activities staff explored people's preferences and offered new experiences.” from the report
Open management
Inspectors found regular quality checks, staff meetings and a positive culture. Staff said managers were approachable and dealt with issues.
“We observed a positive, welcoming culture within the service.” from the report
Medicines awaiting disposal
needs fixingThe storage of waste medicines did not always follow best practice. The manager took positive action after inspectors raised this.
“Not all best practice process was in place, particularly regarding the storage of waste medicines and the formal recording of thickeners in drinks.” from the report
Recording thickeners
needs fixingThe use of thickeners in drinks was not formally recorded. Inspectors recommended reviewing this process and seeking advice.
“We recommend the registered manager reviews the storage of medicines and seeks advice from a reputable source regarding formally documenting the use of thickeners.” from the report
Routine oral health checks
minorPeople were referred to a dentist when needed, but the home did not arrange routine oral health checks for people who did not have their own dentist and family support.
“There were no routine oral health check-ups or appointments.” from the report
- 01How are medicines awaiting disposal stored now, and how is this checked?
- 02How do you record the use of thickeners in drinks for each person who needs them?
- 03How do you make sure people receive routine oral health checks if they do not have their own dentist or family support?
- 04What changes were made after the previous inspection, when the overall rating was Requires Improvement?
- 05How are staffing levels being managed as the extension increases the home's occupancy?
This was a planned inspection covering all five key questions; the home supported 33 people at the time and inspectors reviewed eight care records and seven medication records. This explanation was written from the published report of 25 February 2020 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 Doves Nest Nursing Home
5 rated inspections over 5 years: the service has improved, from Requires improvement to Good.
- February 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- February 2020Goodup from Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2019Requires improvementstayed Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- December 2017Requires improvementdown from GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- April 2016Goodup from Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2015Requires improvementSafe: GoodEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Good
- September 2014
Report published without a new overall rating.
- June 2013
Report published without a new overall rating.
- December 2012
Report published without a new overall rating.
- March 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 31 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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