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Archived: Donness Nursing Home Inadequate

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Inspection report

Date of Inspection: 14 February 2013
Date of Publication: 11 April 2013
Inspection Report published 11 April 2013 PDF


Inspection carried out on 14 February 2013

During an inspection in response to concerns

We met with three people who lived in the home and observed eight others in the lounge and dining room. We met with five staff on duty and the registered manager, and were supported by a staff member to look round the home.

One person told us, �You couldn�t have people wait on you better.� Staff told us that people joined in keep fit sessions and a musical entertainer visited regularly.

However, we found that care planning and risk assessment had not been carried out consistently. Guidance for staff was not updated and accurate. Staff did not always record accurately what they had done and in some instances there was no evidence that they had done what the care plan said was needed. We saw staff moving a person from their wheelchair to an easy chair in a way that might cause the person harm.

Recording of medications was unreliable. It was not always clear that people had been given medication according to the instructions from the prescriber. We found instances of unsafe practice when staff had given medication without carrying out a check that was necessary beforehand.

We found that there were insufficient checks in place to ensure that the home was run in a safe way. This included a lack of medication reviews, to ensure that people were being given the correct medicines to promote their well being and lack of evaluation of accidents and incidents to see whether there was anything more that could be done to prevent people falling.