CQC report explained · a nursing home
What the CQC found at The Devonshire Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that the home used effective infection prevention and control measures. This included cleaning, protective equipment, testing, safe admissions and arrangements for managing outbreaks.
- 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, April 2021
Inspected but not rated; inspectors were assured about the home's infection prevention and control arrangements.
This was an announced, targeted inspection on 7 April 2021. It looked at how the home was preventing and managing COVID-19 infections.
Inspectors found the home was clean and that cleaning schedules covered frequently touched areas. Staff had infection control training, and the home had supplies of protective equipment, testing and safe visiting arrangements.
The home had previously experienced a COVID-19 outbreak. Inspectors found that staff changed working arrangements to continue caring for people while some staff and residents were isolating. The service was inspected but not rated, so this report does not give an overall quality rating.
Cleaning and hygiene
The home had updated cleaning schedules covering high-touch and frequently used areas. Housekeeping and laundry staff had completed infection control training.
“Cleaning schedules had been updated in response to COVID-19, this included regular cleaning of high touch and frequently used areas.” from the report
Response to the outbreak
Staff adapted shifts and ways of working during the previous outbreak. Some staff moved into the home to help maintain care when others were isolating.
“Staff had changed their shift patterns and some had moved into the home along with the manager to provide continued support when staffing numbers were reduced due to staff isolating at home.” from the report
Protective equipment and visiting
There were supplies of protective equipment and suitable arrangements for visitors, including testing and different types of visits.
“There were good supplies of Personal Protective Equipment (PPE) available for staff and visitors throughout the building, with clinical waste bins available for safe disposal once PPE was removed.” from the report
Inspectors raised no specific concerns in this report.
- 01How have your infection prevention and control arrangements changed since the inspection in April 2021?
- 02How do you manage staffing and continuity of care if staff or residents need to isolate?
- 03What cleaning schedules are currently used for high-touch and frequently used areas?
- 04What testing and protective equipment arrangements are currently in place for staff, residents and visitors?
- 05How are new admissions assessed and managed safely if they may need to isolate?
This was a targeted inspection of infection prevention and control during the COVID-19 pandemic; it did not provide an overall rating or assess all five areas of care. This explanation was written from the published report of 20 April 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.
What inspectors found, January 2019
The Devonshire Nursing Home was rated Good; inspectors found safe, kind and personalised care, with earlier moving and handling improvements made.
Inspectors visited on 13 and 14 November 2018. The first day was unannounced. They spoke with people living in the home, relatives, staff and a health professional. They also checked care plans, medicines records, staff files, accidents, incidents and the home's audits.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines management, suitable recruitment checks and good support for people's health, nutrition, independence and personal choices.
People and relatives described staff as kind and respectful. Activities were varied and based on what people wanted. The home had systems to check its work and had introduced a 'resident of the day' process after finding that care plans were not always reviewed as required.
At the previous inspection, safe care had been rated Requires Improvement because of moving and handling concerns. Inspectors found these improvements had been made. The overall Good rating means the service met the standards checked at this inspection.
Safe moving and handling
Inspectors found that the home had acted on the previous concern. Staff followed people's individual guidance and used equipment safely when needed.
“This inspection found that improvements had been made and the rating had improved to Good.” from the report
Kind and respectful care
People were treated with dignity and respect. Staff knew people's needs and encouraged them to make choices and remain as independent as possible.
“People were supported by staff who had a good understanding of their needs and provided assistance in a kind and caring way.” from the report
Activities and personal interests
Activities were planned around what people wanted, with opportunities inside and outside the home. People could also choose not to join in.
“The level of activities available to people and relatives was commendable.” from the report
Quality monitoring
Audits covered areas such as medicines, care plans, accidents, activities, meals and health and safety. The home introduced a new process to improve care plan reviews.
“An effective quality assurance system monitored and reviewed all of the systems and facilities in the home, to drive forward improvements” from the report
Care plan reviews
needs fixingAn audit found that care plans had not always been reviewed monthly or when people's needs changed. The home introduced a 'resident of the day' process to address this, and inspectors said there had been no impact on care.
“care plans had not been consistently reviewed when people's needs had changed or monthly as required.” from the report
- 01How do you make sure my relative's care plan is reviewed monthly and whenever their needs change?
- 02How would you assess and support my relative's moving and handling needs, including the use of walking aids or hoists?
- 03What nursing and end of life care could you provide for my relative's particular health needs?
- 04Which activities would suit my relative's interests, and how would you support them if they preferred not to join group activities?
- 05How would my family be involved in care reviews and in raising or resolving any concerns?
This inspection covered all five key questions and found Good ratings; it also checked that earlier moving and handling improvements had been made. This explanation was written from the published report of 4 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.
Every inspection of The Devonshire Nursing Home
2 rated inspections over 3 years: the service has held its Good rating throughout.
- April 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- January 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2016GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2013
Report published without a new overall rating.
- February 2013
Report published without a new overall rating.
- April 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 14 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.
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19 live-in carers within about an hour of East Sussex
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 £1,000 to £1,400 a week. 13 can care for a couple. 10 years' experience on average.
“When he point blank refused to go into hospital for a life saving blood transfusion she talked him through the situation and agreed to go in the ambulance with him and stayed until he was settled.”
“Una felt safe, secure and loved in her time with Debbie which is a gift that I am eternally grateful for.”
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.