Background to this inspection
Updated
12 March 2020
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 Care Act 2014.
Inspection team:
The inspection was carried out by one inspector.
Service and service type:
Dawn Rest Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The care home accommodates up to 18 people. At the time of the inspection 18 people were living at the home.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
The inspection took place on the 28 and 29 January 2020.
What we did before the inspection
Before the inspection we reviewed the information, we held about the service. This included correspondence we had received, and notifications submitted by the service. A notification is information about important events such as incidents, which the provider is required by law to send us. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. We used all this information to help plan our inspection.
During the inspection we met and spoke with ten people and two relatives. We also;
Reviewed five people’s care records, which included support plans, risk assessments and daily monitoring records.
Reviewed records of accidents and incidents.
Reviewed two staff files, which included recruitment checks and induction records.
Reviewed a range of records relating to the running of the service, including complaints, quality audit, health and safety checks and policies and procedures.
We reviewed medicines administration records and observed as people had their medicines given to them.
We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
Updated
12 March 2020
About the service
Dawn Rest Home is a residential care home providing personal care and accommodation to a maximum of 18 people aged 65 and over. The service does not provide nursing care. Where needed this is provided by the community nursing team. At the time of the inspection 18 people were living at the service.
People’s experience of using this service and what we found
People who lived at Dawn Rest Home benefitted from a kind, caring and committed staff team. People and relatives told us they were treated with kindness, compassion and respect.
People were supported to make choices in relation to their care and lifestyle and their independence and rights were promoted and respected. Management and staff understood their role in relation to the Mental Capacity Act (2005). People’s consent was sought before care and support was provided. When people were unable to consent and make decisions for themselves appropriate processes were followed. People were protected from discrimination and abuse because staff understood how to safeguard people.
People’s care was delivered safely, by staff who were recruited safely and who undertook training relevant to the needs of people supported. Risks relating to people’s care and lifestyle were understood and managed well. Staff undertook specialist training when required in areas such as diabetes, skin care and end of life support.
People lived in a home that was well maintained, comfortable and designed to meet people’s needs. The design and layout of the home meant people could choose to be on their own or in the company of others. People had opportunities to occupy their time in a way they chose and preferred, and relatives and friends were welcomed at any time.
The provider, registered manager and staff had a good relationship with health and social care professionals and used these contacts to help ensure people’s full range of needs were met. Systems were in place to ensure the ongoing quality and improvement of the service.
We have recommended staff undertake up training in relation to equality and diversity and the provider completes more robust records to support their quality auditing processes.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at the last inspection
The last rating for this service was Good (Published 14 July 2017).
Why we inspected
This was a planned inspection based on the previous rating. The service has remained Good.
Follow up:
We will continue to monitor the service to ensure that people continue to receive safe, compassionate, high quality care. Further inspections will be planned based on the rating. If we receive any concerns, we may bring our inspection forward.