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Archived: Donness Nursing Home Inadequate

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Inspection report

Date of Inspection: 21 July 2011
Date of Publication: 22 September 2011
Inspection Report published 22 September 2011 PDF


Inspection carried out on 21 July 2011

During an inspection in response to concerns

We carried out this responsive review in response to an overall multi agency safeguarding strategy which is being coordinated by Devon County Council. The alert focuses on key themes, which include:

� how pressure area care is managed

� how well the nursing home cares for people with complex needs

� how infection risks are managed

� how medicines are managed and whether this is done safely

� how staff are recruited and whether this protects people

� whether the staffing levels meet the needs of people.

We carried out a responsive review with two inspections to Donness Nursing Home on 21st and 27th July 2011 and because of the concerns we looked outcomes 4, 8, 9, 12 and 13.

We were not investigating this alert because this is being looked at as part of the safeguarding process. The purpose of this review was to check compliance in these five key outcome groups for people currently living in the home.

We looked at the records of four people in detail; and where possible we spoke to the individual and or their carer. We observed other people being attended to whilst we were visiting. We also spoke to different care workers including nurses and care assistants.

People who were able to tell us said that their needs were being met and commented that care workers are "friendly" and "thoughtful". However, we observed that people with cognitive impairment did not always have the consistent attention they require to promote their well being or safety because there has been a reduction in the numbers of care workers on duty.

We have identified some key areas of concern where lack of assessment and care planning could place people at risk. We did not find that outcomes for people were poor, but we did find that care plans were not being reviewed and monitored sufficiently to ensure appropriate care and treatment was consistent.

People looked clean and neat and tidy in their own clothes. The home was spotlessly clean.

People are cared for by skilled and experienced care workers. We saw that when people did have attention care workers always had good eye contact with them. We also saw that care workers initiated conversations with people and treat them as individuals.

People did not tell us anything about how new staff are recruited. However, we suggested that improvements be made to the recruitment process, to ensure that it is robust and protects people.

We have set two compliance actions and two improvement actions and we will be reviewing these again in the near future with a further unannounced visit to the nursing home.