CQC report explained · a residential care home
What the CQC found at Dunraven House and Lodge
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, March 2022
Inspected but not rated; inspectors found clear choking-risk plans and effective infection-control measures.
This was an unannounced, targeted inspection on 2 March 2022. One inspector checked a concern about how the home managed choking risks. The inspector looked at four people's risk plans, management records and infection-control arrangements, and spoke with two residents, the manager and two care staff.
Inspectors found clear plans for people at risk of choking. These had been reviewed after a recent incident, and speech and language therapy advice had been used where relevant. Staff understood people's eating needs, and information was available in the electronic care plans and kitchens.
The home had measures to reduce COVID-19 infection risks. Visitors were screened and given protective equipment. Staff used protective equipment safely, additional cleaning had taken place, testing was being carried out and vaccination requirements were being met.
The service was inspected but not rated at this visit. Its previous overall rating was Good, published in May 2019, and the report says that rating remained unchanged. This visit did not assess the whole Safe question or the other key questions.
Choking-risk plans
People at risk of choking had clear plans. The plans had been reviewed after a recent incident and included specialist input where relevant.
“The registered manager had identified people who were at risk of choking and there were clear plans in place to manage the risks.” from the report
Staff understanding
Staff showed a good understanding of people's eating needs and choking risks. Key information was available to staff in care plans and in the kitchens.
“Staff demonstrated a good understanding of people's needs in relation to eating and the risk of choking.” from the report
Clean environment
Inspectors found the home clean and saw records showing that additional cleaning had been completed.
“All areas of the home were clean, and records demonstrated the additional cleaning had been completed.” from the report
Infection control
Protective equipment was available and used safely. The home also carried out testing and checked vaccination requirements for relevant staff and visitors.
“PPE was available to staff throughout the service and staff were seen using it safely.” from the report
Inspectors raised no specific concerns in this report.
- 01How often are choking-risk plans reviewed, and what happens when a person's eating needs change?
- 02How do staff make sure information about soft or modified diets is followed when meals are prepared?
- 03What training do new and existing staff receive about choking risks and supporting people with eating?
- 04How are visitors, staff and professional visitors currently screened and supported to reduce infection risks?
This was a targeted inspection of a specific choking concern and infection-control measures; it did not assess the whole Safe question or the other four key questions, so the previous ratings carry over. This explanation was written from the published report of 16 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, May 2019
Rated Good; inspectors found safe, kind and personalised care, with improvements made since the previous inspection.
Inspectors visited unannounced on 3 April 2019. They spoke with eight people and seven staff, looked at six care records, and checked medicines, recruitment, training and management records.
People said they felt safe and that staff were kind, respectful and understood their needs. Inspectors found enough staff, safe medicines support, up-to-date risk assessments, personalised care plans and support to make choices and stay independent.
The home supported people's health, nutrition, activities and relationships. Inspectors also found effective checks on care quality and a well-run service. All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led.
The previous inspection was rated Requires Improvement. The report says the provider had made all the improvements required, including improvements to safeguarding, consent, working with health professionals, dignity, quality checks and notifications.
People felt safe
People said they felt safe and were confident staff would listen and act if they raised concerns. Staff had safeguarding training and knew how to report concerns.
“People felt safe living at Dunraven House and Lodge.” from the report
Kind and respectful care
Inspectors saw friendly and respectful interactions. Staff supported privacy, dignity, choice and independence.
“We observed staff interacting with people in a friendly and respectful way.” from the report
Personalised support
Care plans included individual needs, preferences and goals. People were involved in planning their support and developing independence.
“People had clear support plans, which set out how their individual needs should be met.” from the report
Effective management checks
The provider checked care records, medicines, staff practice and feedback. These checks were used to plan improvements.
“The provider had effective quality assurance systems in place.” from the report
Inspectors raised no specific concerns in this report.
- 01How often will my relative's care plan and risk assessments be reviewed, and how will they be involved?
- 02How will you support my relative to make choices and remain as independent as possible?
- 03How will you make sure medicines records remain complete and medicines are given safely?
- 04How will you support my relative to attend health appointments and respond if their mental health changes?
- 05How do you use feedback from residents and families to improve activities, food and daily care?
This was an unannounced planned inspection covering the overall service, including all five CQC questions, the premises and the care provided. This explanation was written from the published report of 15 May 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.
Every inspection of Dunraven House and Lodge
3 rated inspections over 3 years: the service has held its Good rating throughout.
- March 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- May 2019Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2018Requires improvementdown from GoodSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: GoodWell-led: Requires improvement
- January 2016GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2013
Report published without a new overall rating.
- January 2013
Report published without a new overall rating.
- September 2012
Report published without a new overall rating.
- January 2012
Report published without a new overall rating.
- July 2011
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 29 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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