Dane View Care Home With Nursing

Updated 16 March 2024

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was completed by 2 Inspectors, 1 Regulatory Co-Ordinator and 1 Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Dane View Care Home with Nursing is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Dane View Care Home with Nursing is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

The first day of inspection was unannounced. We gave the service 24 hours’ notice of the second day of inspection, and approximately 72 hours’ notice of the third day of inspection.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 5 people living at the service and 6 relatives, to gain feedback on their experiences of using the service. We spoke with 13 staff members including the registered manager, the group operations manager, the clinical lead, care staff, and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We reviewed a selection of records including 9 people's care files and multiple medication records. We looked at 5 staff files in relation to recruitment and reviewed the provider’s monitoring documents for staff training and supervisions for all staff. A variety of records relating to the management of the service, including policies and procedures were examined.

Updated 16 March 2024

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

About the service

Dane View Care Home with Nursing is a residential care home, providing personal or nursing care to up to 41 people, some of whom are living with dementia care needs. At the time of inspection, 34 people were living at the service.

People’s experience of using this service and what we found

Right Support: The service is set in a beautiful old convent building and is well designed. There were large spaces utilised effectively for activities and other functions. The service was mostly well decorated and personalised throughout.

Staff worked alongside community health and social care professionals to ensure people received timely care.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

Right Care: Management of known risks to people’s health and wellbeing still required improvement. Wound and skin care management had significantly improved since our last inspection, however, we found gaps in people’s records that did not promote safe practice. There was a continued lack of guidance in place for staff regarding people’s mobility needs and risk of falls. Safe medicines practices were not always followed.

People’s assessment documents were not always fully completed, for example, food and fluid records. Feedback from people indicated they were happy with the care they received and felt it met their needs. The mealtime experience was calm and relaxed.

People were protected from risk of harm and abuse by an effective safeguarding system. People and their relatives told us they felt safe.

People were supported by enough staff who were deployed effectively. Safe recruitment processes were in place.

Right Culture: The registered manager demonstrated desire and ability to learn lessons when things went wrong, however, further improvements in relation to safe care and treatment were required. The provider had employed a group quality and compliance manager and a group operations manager to support service development.

Quality assurance processes were not always being used effectively. Senior staff were not always clear on their roles in relation to quality oversight.

The provider was proactive in ensuring staff compliance with required training. Most people and their relatives told us they felt staff were well trained and competent.

Staff spoke highly of the registered manager. Feedback from people and their relatives indicated the home was well managed.

Staff received regular supervisions. Regular staff and relative meetings took place to provide people opportunity to provide feedback.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was inadequate (published 11 August 2023). Breaches in regulations relating to dignity and respect, consent, safe care and treatment, safeguarding service users from abuse and improper treatment, good governance, staffing, and fit and proper persons employed were identified. The provider completed an action plan after the inspection to show what they would do and by when, to improve and meet the breaches in regulation related to dignity and respect, consent, safeguarding service users from abuse and improper treatment, and fit and proper persons employed. Warning Notices were served for the breaches relating to safe care and treatment, governance, and staffing. At this inspection we found the provider remained in breach of regulations.

At this inspection we found improvements had been made. However, not enough improvement had been made and the provider remained in breach of regulations. This service has been in Special Measures since 22 Mar 2023. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.

Why we inspected

We undertook this focused inspection to check whether the Warning Notices we previously served in relation to good governance, safe care and treatment and staffing had been met. This report only covers our findings in relation to the Key Questions Safe, Effective, Caring and Well-led which contain those requirements.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from inadequate to requires improvement. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Dane View Care Home with Nursing on our website at www.cqc.org.uk.

Enforcement

We have identified breaches in relation to safe care and treatment, and good governance. Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.