CQC report explained · a nursing home
What the CQC found at Dussindale Park
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that the home had effective infection prevention and control arrangements, including safe use of protective equipment, testing, cleaning, admissions and visits. They also noted measures to manage COVID-19-related staffing pressures.
- Effective?
- Good
- Does the care work? Training, consent, food and drink, working with GPs and nurses.
- Caring?
- Good
- Are people treated with kindness and dignity?
- Responsive?
- Good
- Is care built around the person? Care plans, activities, complaints.
- Well-led?
- Good
- Is the home run well? The manager, the culture, how problems get found and fixed.
What inspectors found, January 2022
Dussindale Park was inspected but not rated; inspectors found good infection control, with some guidance still needing review.
This was a targeted inspection on 20 January 2022. It looked at infection prevention and control, visiting arrangements and staffing pressures linked to COVID-19. The visit was announced with four hours’ notice.
Inspectors were assured that the home used protective equipment safely, supported testing, managed visits and admissions, and followed cleaning, distancing and shielding measures. They also found the home hygienically clean and said records supported regular cleaning of specialist equipment.
Staff had extra training and used their individual skills to cover temporary staffing shortfalls. For example, housekeeping and kitchen staff helped provide activities so people were less isolated.
The service was inspected but not rated. This means the inspection did not give an overall quality rating or a rated judgement for Safe.
Clean environment
The home was hygienically clean while still supporting people to live in a personalised environment.
“The home was hygienically clean throughout, whilst supporting people to live in a personalised care environment.” from the report
Equipment cleaning records
Additional records were in place to show that specialist equipment was cleaned regularly.
“Additional documentation records were in place to ensure that the regular cleaning of specialist equipment was in place to maintain standards of infection prevention and control.” from the report
Managing staffing pressures
Staff had extra training and used their skills to help cover temporary staffing gaps. Other staff supported activities to reduce people's isolation.
“Staff had additional training and utilised individual skills and competencies to cover any temporary shortfalls in staffing to prevent people from experiencing isolation.” from the report
Infection control arrangements
Inspectors were assured about protective equipment, testing, visits, admissions, cleaning, social distancing and managing outbreaks.
“We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed.” from the report
Guidance review needed
minorInspectors asked the provider to review current government guidance on new admissions and enhanced testing. The report does not say that this caused harm, but it is an area to ask about.
“We also asked for the provider to review the current government guidance in relation to the management of new admissions to the home, and the use of enhanced testing regimes to reduce the impact of self-isolation.” from the report
Approach could be developed
minorThe provider was signposted to resources to develop its approach to infection prevention and control.
“We have also signposted the provider to resources to develop their approach.” from the report
- 01What changes have you made after being asked to review guidance on new admissions?
- 02How do you now use enhanced testing to reduce the impact of self-isolation?
- 03How are current staffing levels affecting activities and personal care?
- 04How do you make sure specialist equipment is cleaned regularly and the records remain complete?
- 05How are visits managed now, and how do you check that visiting professionals meet the COVID-19 vaccination requirements or have an exemption?
This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; the service was inspected but not rated and the report does not provide a full assessment of all five areas. This explanation was written from the published report of 29 January 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, July 2019
Dussindale Park rated Good; inspectors found kind, safe care and improvements, but some people had too little social contact.
This was an unannounced inspection on 16 May 2019. Three inspectors visited the home, spoke with people, relatives and staff, observed care, and checked care, medicines, recruitment and management records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found people were treated with kindness and respect, received their medicines safely, and had access to food, drink and healthcare.
The home had improved since the previous inspection, when it was rated Requires Improvement and had breached four regulations. At this inspection, the provider was no longer in breach of those regulations.
Inspectors did note that people in their rooms could spend long periods without social contact. They also found that some baths were postponed when staffing levels did not allow them to happen as planned.
Kind and respectful care
People and relatives consistently described staff as kind and caring. Inspectors observed compassionate support and respect for privacy and dignity.
“People were treated with kindness, respect and compassion and their privacy, dignity and independence were promoted.” from the report
Safer care and medicines
Risk assessments, pressure sore records and medicines systems had improved. Inspectors found medicines were given by trained staff and records were maintained correctly.
“Medicines were managed safely and associated records were maintained correctly.” from the report
Improved care planning
Care plans had been rewritten and gave better guidance for people's health and personal needs. Plans for wounds and diabetes were described as good quality.
“Since our last inspection all care plans had been rewritten. These were more person centred and were in the process of being reviewed with people.” from the report
Good healthcare support
People could access GPs and other health professionals when needed. Inspectors found examples of staff working well with outside professionals to support people's health.
“There were several examples of the service staff working effectively with others to ensure good outcomes for people.” from the report
Management improvements
The provider had acted on the previous inspection findings. Audits and management oversight had improved, including for medicines, cleanliness, infection control, fire and health and safety.
“Governance systems were being embedded into the running of the service.” from the report
Limited social contact for some people
needs fixingInspectors saw that people in their rooms spent long periods without social engagement. The home had activities and had increased activity staffing, but the inspectors asked managers to consider this gap.
“not enough staff were consistently available to facilitate everyone's social needs.” from the report
Care could be delayed when staffing was tight
needs fixingInspectors were told that some people's scheduled baths were postponed until staffing levels allowed them to happen. Ask how often this still happens and what action is taken when it does.
“on occasion peoples scheduled bath would be postponed until staff levels enabled this to happen.” from the report
- 01How do you make sure people who spend time in their rooms receive enough social contact and stimulation?
- 02How often are baths or other planned personal care delayed because of staffing levels?
- 03What staffing levels are planned for each shift, and how do you respond when staff are unavailable?
- 04Has the manager since become registered with the CQC?
- 05How are the rewritten care plans reviewed with each person and their family?
This was an unannounced inspection covering all five CQC questions, including the premises and the care provided; the previous inspection ratings had been Requires Improvement. This explanation was written from the published report of 19 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.
Every inspection of Dussindale Park
4 rated inspections over 4 years: the service has held its Good rating throughout.
- January 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- July 2019Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2018Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- August 2017Requires improvementdown from GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- June 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2014
Report published without a new overall rating.
- November 2013
Report published without a new overall rating.
- September 2013
Report published without a new overall rating.
- July 2013
Report published without a new overall rating.
- April 2013
Report published without a new overall rating.
- January 2013
Report published without a new overall rating.
- August 2012
Report published without a new overall rating.
- December 2011
Report published without a new overall rating.
- October 2011
Registered with the Care Quality Commission on 14 October 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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Most charge £990 to £1,120 a week. 9 can care for a couple. 14 years' experience on average.
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