CQC report explained · a residential care home
What the CQC found at Drovers House
Rated Requires improvement: inspectors found the home was not performing as well as it should and told it what to change.
What inspectors found, February 2020
Drovers House was rated Good overall; inspectors found kind, safe care, but noted recent staffing, medicines and management concerns.
Inspectors visited on 23 December 2019 and 9 January 2020. The first visit was unannounced. They spoke with people, relatives and staff, observed care, and checked care, medicines, staffing and management records.
They found people were safe and received effective, kind and personalised care. Staff supported people's choices, dignity, health needs, eating and drinking, activities and end-of-life wishes. All five areas were rated Good.
There had been concerns about staffing, medicines errors and how the home had been managed while the registered manager was away. The provider had introduced new systems, recruited more permanent staff and appointed an interim management team. Inspectors found these changes were improving the service.
The overall rating changed from Outstanding at the last comprehensive inspection in June 2017 to Good. The inspection also considered risks linked to a specific injury incident, but did not investigate what happened because that incident was still being investigated.
Kind and respectful care
Inspectors saw staff taking time, showing patience and using suitable communication with people living with dementia.
“Warm, empathetic and respectful interactions were observed between staff and people.” from the report
Personalised support
Care records included people's preferences, life history and routines. People and relatives were involved in planning care.
“Care records were personalised to meet individual needs and included people's preferences on how they wanted to spend their time.” from the report
Activities and social life
The home provided regular group activities, one-to-one sessions and opportunities to maintain interests and relationships.
“Group activities were organised daily. Activities included coffee mornings, scheduled exercises, social groups and clubs, daily games and reminiscence.” from the report
Improving night-time support
Acoustic monitoring was used with people's agreement to reduce unnecessary disturbance at night. The provider's analysis showed fewer night-time falls after it was introduced.
“The benefit of the system was that staff no longer checked people at night by opening their bedroom doors and disturbing them.” from the report
Improvement systems
The provider had introduced new checks for medicines, risks, healthcare and staffing, with actions recorded in an improvement plan.
“All actions from audits were added to an improvement plan the manager and provider oversaw.” from the report
Mixed views about staffing
needs fixingSome relatives and staff were unsure whether there had always been enough staff. The provider said vacancies had led to temporary staff use, although inspectors found enough staff during their visits.
“We received mixed feedback from relatives and staff about whether there were enough staff to safely meet people's needs and preferences.” from the report
Previous medicines errors
needs fixingThe provider said there had been several medicines errors in the previous year. New procedures, staff retraining and daily checks had been introduced before the inspection.
“The provider had recognised there had been a number of medicines errors in the previous year.” from the report
Recent management instability
needs fixingThe registered manager had been away for several months and relatives and staff gave mixed views about how the home had been managed during that period. A new interim team was in place.
“We received mixed feedback from relatives and staff about whether the home had been well managed during the previous year, due to the absence of the registered manager.” from the report
- 01How many permanent care staff are now working on each household during the day and at night?
- 02How are staffing levels calculated from residents' current care needs, and what happens when staff are absent?
- 03What medicines errors have occurred since this inspection, and what checks are carried out each day?
- 04Who is currently responsible for the home while the registered manager is away?
- 05What was learned from the injury incident mentioned in the report, and what changes were made as a result?
This was a planned inspection covering all five key questions, and it considered risks linked to a specific incident, but it did not investigate that incident because it was still under investigation. This explanation was written from the published report of 12 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.
What inspectors found, June 2017
Rated Outstanding overall; inspectors found safe, kind and highly personalised care, with Outstanding responsiveness and leadership.
This was a comprehensive, unannounced inspection carried out over 19, 20 and 25 April 2017. Inspectors spoke with people living at the home, relatives, staff and healthcare professionals. They also observed care and mealtimes and checked care plans, daily records and management checks.
The home was rated Outstanding overall. Safe, effective and caring were rated Good. Responsiveness improved from Good to Outstanding, and well-led remained Outstanding. The report says the overall rating rose from Good because of this improvement in responsiveness.
Inspectors found people were supported to live in ways that suited them. This included clubs, activities, trips, familiar routines and support with personal interests. They also found safe medicines management, enough staff, suitable training and strong systems for monitoring care.
Personalised daily life
People were supported to keep familiar routines and pursue their own interests. Staff learned about people's life stories, hobbies and preferences.
“People planned their own care in partnership with their families and staff.” from the report
Activities and community links
The home offered clubs, exercise, trips, volunteering, befriending and other activities. Inspectors saw these activities improve people's engagement and enjoyment.
“People were encouraged and supported to maintain links with the community.” from the report
Safe staffing and medicines
Inspectors found enough staff to support people safely. Recruitment checks, safeguarding arrangements and electronic medicines records were in place.
“There were enough staff to support people safely.” from the report
Kind and respectful care
People and relatives described staff as kind, welcoming and respectful. Inspectors saw staff support people's dignity, privacy and independence.
“Staff's thoughtfulness and understanding was effective in creating relationships with people based on mutual trust.” from the report
Strong management systems
Electronic care records, alerts, audits and feedback helped managers identify actions and monitor whether care was delivered. Healthcare professionals said communication had improved.
“The provider listened to people's views and took action to improve their experience of the service.” from the report
Mixed views about food choice
minorSome people said the food choice was bland or limited. The home was trialling an external hot-meal service on one floor, so families should ask how food choices are now managed.
“some other people told us the choice was 'bland' or 'limited'.” from the report
- 01How much choice is currently available at each mealtime, particularly for people who do not like the planned meal?
- 02How are activities and outings matched to my relative's interests, abilities and past life?
- 03How will you keep us informed about changes in my relative's care and health?
- 04How does the electronic care system alert staff if an important care action is late or missed?
- 05Who is the registered manager now, and how will management continuity be maintained?
This was a comprehensive inspection covering all five questions, with inspectors speaking to people, relatives, staff and healthcare professionals and reviewing care records and management checks. This explanation was written from the published report of 30 June 2017 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 Drovers House
3 rated inspections over 5 years: the service has held its Good rating throughout.
- February 2020Goodcurrent ratingdown from OutstandingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2017Outstandingup from GoodSafe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Outstanding
- June 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Outstanding
- September 2013
Registered with the Care Quality Commission on 6 September 2013.
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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What to check when you visit
At least 100 live-in carers within about an hour of Warwickshire
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £950 to £1,260 a week. 77 can care for a couple. 11 years' experience on average.
“If you bump into her in the night on her way to the bathroom she will still inquire how you are and if everything is alright.”
“I have never met a person who is so kind and thinks about others before himself to such an extent as Chris Malagala.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.