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Archived: Dovecott Care Home

Reports


Inspection carried out on 1, 12 July 2013

During an inspection to make sure that the improvements required had been made

Because we found that people who used the service, due to their complex needs, were unable to tell us about their experiences we spent time observing the care provided. We also spoke with staff and looked at records.

We found that there had been some improvements in the support and training provided to staff. We observed that there were good interactions between staff and the people who used the service and that staff understood peoples needs and how to meet these.

The provider/manager was on holiday on our first visit to the home so the inspection was completed over two days.

Inspection carried out on 3, 13 June 2013

During an inspection to make sure that the improvements required had been made

We used a number of different methods to help us understand the experiences of people using the service, because we found that people who used the service, due their complex needs, were unable to tell us about their experiences. During this inspection we spent time observing the care provided and speaking with people who used the service. We also spoke with staff and visitors and looked at records.

The inspection was completed over two days.

We spoke with a visitor to the service who was very complimentary about the care provided to their relative. They told us, "They are very well looked after, they keep me well informed."

We spoke with a health professional who told us, "The residents seem happy enough, the staff follow instructions and are knowledgeable."

We found that some improvements had been made in relation to fire safety, infection control and use of bed rails.

We found that since our last inspection appropriate equipment had been provided to minimise risks for one person. We also found the manager had worked with the fire officer to improve fire safety in the home.

Whilst we did not plan to look at these areas during the inspection we found that people had not always received their medicines as prescribed and medicine records were not always accurate. We also found that the home and gardens had not been adequately maintained.

Inspection carried out on 18, 19 April 2013

During a routine inspection

During this inspection we spent time observing the care provided and speaking to people who used the service. We also spoke with staff, visitors and looked at records. We used a number of different methods to help us understand the experiences of people using the service, because the we found that people who used the service, due their complex needs, were unable to tell us about their experiences.

We observed positive interactions between staff and people living in the home. We saw that staff offered people choices in how care was to be delivered and that they took their time to explain care tasks to people.

The records showed that staff were knowledgeable about peoples care needs and the care required to meet needs. We found that professional advice had been sought by care workers where any health needs were identified. A visiting health professional told us that people using the service rarely had any health needs that required them to visit. They told us that they felt this “was down to the care people received.”

We found that risks relating to the use of equipment were not always adequately assessed and that one person had been put at risk where bed rails had been used.

We found that staff had not received adequate training and supervision for their role.

The provider had failed to take into account the findings from the last inspection, implement their action plan and to take into account relevant guidance and information from other expert bodies.

Inspection carried out on 23 October 2012

During a routine inspection

During this inspection we spent time observing the care provided and speaking to people who used the service. We also spoke with staff, visitors and looked at records. We found that people who used the service were unable to give us detailed information due their complex mental health needs.

We observed positive interactions between staff and people living in the home. We saw that staff offered people choices in how care was to be delivered and that they took their time to explain care tasks to people.

We found that people who used the service were not protected from the risk of abuse or unlawful or excessive restraint. The provider had not ensured that all staff had received appropriate training, had not reported incidents to the relevant agencies and had not assessed the need for restraint to show that this action was reasonable and proportionate.

We found that risks relating to the use of equipment was not always adequately assessed. There was no evidence of analysis of incidents and accidents in the home to ensure that risks were adequately managed.

We found that people's representatives had been consulted about the quality of the care provided and positive comments had been received. These included, “I am happy with the care provided” “The staff are very approachable and supportive” and “My relative is well cared for in a safe homely environment by caring professional staff who have a good understanding of their needs.”

Inspection carried out on 4 July 2011

During an inspection to make sure that the improvements required had been made

The group of people currently using the service have a variety of complex needs and communication difficulties and were not able to tell us directly about their care, however we observed interactions between them and the staff that support them. We found that care staff were very aware of the individual personal and healthcare needs of the people that use the service and supported them to make choices about their care and daily life.

Inspection carried out on 16 March 2011

During a routine inspection

The group of people currently using the service have a variety of complex needs and communication difficulties and were not able to tell us directly about their care, however we observed interactions between them and the staff that support them. We found that care staff were very aware of the individual personal and healthcare needs of the people that use the service and supported them to make choices about their care and daily life.

During the visit we spoke with a number of relatives who confirmed their satisfaction with the service and told us:

• ‘the staff are all lovely and have looked after my father with such kindness and dedication’

• ‘I am very happy with the standards of care at the home and have no complaints at all.

• ‘the bedroom is nice, he has a few of his personal things here and he is settled, it’s always kept clean and tidy.’

• ‘I have recently completed a survey about the home, I am very pleased with everything’.

Reports under our old system of regulation (including those from before CQC was created)