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Archived: Donness Nursing Home Inadequate

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Inspection report

Date of Inspection: 26 January 2012
Date of Publication: 22 February 2012
Inspection Report published 22 February 2012 PDF

People should get safe and appropriate care that meets their needs and supports their rights (outcome 4)

Meeting this standard

We checked that people who use this service

  • Experience effective, safe and appropriate care, treatment and support that meets their needs and protects their rights.

How this check was done

Our judgement

People are receiving appropriate care because care plans and other records

are complete and reviewed. Peoples’ needs are being fully assessed to plan the delivery of all aspects of care and treatment.

Overall we found that Donness Nursing Home was meeting this essential

standard.

User experience

In the previous inspection we found that people did not always have the right level of support when they needed it.

During this inspection visit we spoke with three people using the service and observed the care of another eight people. People spoke very positively about their care and treatment. One person told us that they “really like it here, the staff are very good”. Another person told us that ‘there has been a lot of new staff, which is better”.

We spoke to six care workers and all of them told us that staffing levels had been increased during the day time, which meant that they had more time to look after each person and ensure they had the right level of supervision. For example, at lunchtime we saw that a person needing help with eating had constant 1:1 attention from a care worker.

We observed care workers interacting with people at different times of the day in a kind and respectful manner. The calls bells were not ringing for long periods. One person told us “if I ring the bell they come very quickly.’’

We saw that people were being supported to take part in activities both structured group session and individual one to one time. For example we spent 45 minutes with a group of eight people involved in a lively exercise class. There was a lot of laughter and people were smiling and joining in. The exercises were geared towards each person’s abilities, which helped to ensure that everyone was able to take part.

We spoke with the activities coordinator who had been working out a programme of activities for people to help them keep stimulated. The manager also told us that they were working on life stories and activity profiles to help identify what activities people may prefer. We saw some of these in the care files we looked at.

Other evidence

In the previous inspection we found that gaps in plans of care led to increased risks for people because of inadequate monitoring. The provider sent us an improvement plan highlighting changes that had been made, which included streamlining records, reviewing care plans and monitoring progress with this.

We spoke to one person about their needs and health and looked at their care records. We were able to track how this person’s health had been monitored, which included having regular blood tests. We saw that there had been regular discussions with the person’s GP and requests made for this person to be examined, which resulted in treatment being prescribed. Therefore, records accurately reflected the changing needs of this person and demonstrated how decisions were made with them and other health professionals involved in their care.

We saw that plans had been reviewed at least monthly and that assessments had been updated to reflect changing needs.