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CQC report explained · a nursing home

What the CQC found at Dunkirk Memorial House

Outstandingpublished 3 January 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, including PPE, testing, hygiene, safe admissions and managing possible outbreaks.
Effective?
Outstanding
This area was not assessed in this targeted inspection.
Caring?
Good
This area was not assessed in this targeted inspection, although inspectors noted that people were supported to keep in touch with family and friends.
Responsive?
Outstanding
This area was not assessed in this targeted inspection, although the home adapted activities and social contact to support people safely.
Well-led?
Outstanding
This area was not assessed in this targeted inspection, although staff said they felt supported, kept up to date and able to discuss concerns.
The latest report, explained

What inspectors found, March 2021

Inspected but not rated; inspectors found good infection control and support for safe contact with families.

This was an announced, targeted inspection on 9 March 2021. It focused on how the home was preventing and controlling coronavirus infections.

Inspectors were assured that the home used personal protective equipment safely, followed social distancing and shielding rules, supported safe admissions, and provided testing for people and staff.

People were supported to keep in touch with family and friends through calls, video calls, letters, pod visits and face-to-face meetings. Activities and shared meals continued with changes to keep people safe.

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

What inspectors praised
  • Infection control

    Inspectors were assured that the home had good arrangements to reduce the risk of infection. These included PPE, testing, hygiene measures and an up-to-date infection control policy.

    “Staff were following good infection prevention and control practices which helped to minimise risks to people.” from the report
  • Family contact

    The home provided several ways for people to stay in touch with friends and family, including visits and remote contact.

    “People were being supported to safely keep in touch with friends and family in accordance with their needs and wishes.” from the report
  • Activities and social life

    The home made changes so people could continue socialising and taking part in activities within safe boundaries.

    “Adjustments had been made to enable people to socialise and take part in activities.” from the report
  • Staff support

    Staff said they received updates, could discuss concerns and felt safe at work. They also described good teamwork and morale.

    “Staff worked as a team and all said morale was good.” 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. 01How are infection prevention, PPE and testing arrangements working now?
  2. 02How can residents currently keep in touch with family and friends, including face-to-face visits?
  3. 03How are activities and shared meals arranged safely now?
  4. 04How are staff kept up to date with current guidance and supported to raise concerns?
  5. 05When was the home’s last full inspection and what were the ratings for Effective, Caring, Responsive and Well-led?

This was a targeted inspection of infection prevention and control under Safe; the other areas were not rated. This explanation was written from the published report of 27 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, January 2019

Rated Outstanding overall; inspectors found kind, personalised care and strong leadership, although some people raised concerns about staffing in one area.

This was an unannounced inspection on 31 October and 1 November 2018. Inspectors spoke with 31 people living at the home, six visitors, 15 staff and three volunteers. They also observed care and mealtimes.

The home remained Outstanding overall. Effective, responsive and well-led care were rated Outstanding. Safe and caring care were rated Good. Inspectors found people were treated with kindness, involved in decisions and supported to follow their own routines.

The home provided nursing and personal care for up to 90 people, including people living with dementia. Inspectors found well-trained staff, detailed care planning, a wide range of activities and strong support for people's health, independence and end-of-life wishes.

Some people and a visitor said there were times when staffing was not sufficient in the personal care and support area. Opinions about food varied, and the manager was working on improvements. These issues did not change the overall Outstanding rating.

What inspectors praised
  • Personalised care

    People were supported to follow their own routines and make choices about their care and daily lives. Their military backgrounds, religions, cultures and personal preferences were respected.

    “People were at the centre of everything at the home and consulted on all changes.” from the report
  • Dementia support

    The Mews was designed around people living with dementia. Its layout, households and activities helped people feel calmer, socialise and move around more independently.

    “The Mews was purpose built to meet the needs of people living with dementia.” from the report
  • Kind and respectful staff

    Inspectors saw staff offering reassurance, respecting people's dignity and supporting them at their own pace. Records also showed that staff had improved one person's quality of life.

    “Throughout the inspection we saw numerous examples of kindness and compassion.” from the report
  • Activities and independence

    People had many social opportunities, activities and events, as well as access to gardens and adapted spaces. The home was also developing a more personalised approach to social interaction.

    “People had access to many social activities and events.” from the report
  • Strong improvement culture

    The provider and managers used projects, surveys, audits and quality plans to improve care. They acted on feedback from people and staff.

    “The provider and registered manager constantly looked for ways to improve the service offered to people and enhance their experience.” from the report
What inspectors were concerned about
  • Staffing concerns in one area

    needs fixing

    Some people and a visitor said there were not always enough staff in the personal care and support area, and that people sometimes waited for assistance. The manager said they would review job roles and staffing levels there.

    “There's not enough staff and they have to work as waitresses as well as care staff.” from the report
  • Mixed views about food

    minor

    People had different opinions about the food. The manager was already surveying people and introducing changes such as more snacks and a larger choice of desserts.

    “Opinions about the food served at the home were varied.” from the report
Questions to ask them, based on this report
  1. 01What staffing levels are planned for the personal care and support area, and how will you make sure people do not wait too long for help?
  2. 02What changes have been made to meals and snacks since the inspection, and how are residents' views being checked now?
  3. 03How would you support my relative to follow their usual routines and personal preferences?
  4. 04What activities and social opportunities would suit my relative's interests, health and communication needs?
  5. 05How would you support my relative if their care needs changed and they needed a different level of support?

This was an unannounced inspection covering all five key questions and the overall quality of the home. This explanation was written from the published report of 3 January 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 Dunkirk Memorial House

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 Dunkirk Memorial House →

  2. January 2019Outstandingstayed Outstanding
    Safe: GoodEffective: OutstandingCaring: GoodResponsive: OutstandingWell-led: Outstanding

    Read what inspectors found at Dunkirk Memorial House →

  3. June 2016Outstanding
    Safe: GoodEffective: OutstandingCaring: GoodResponsive: OutstandingWell-led: Good

    Read this report on cqc.org.uk

  4. September 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. December 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. May 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. January 2011

    Registered with the Care Quality Commission on 24 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.

Next steps

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Most charge £1,020 to £1,370 a week. 62 can care for a couple. 12 years' experience on average.

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