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Archived: Donness Nursing Home Inadequate

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Inspection report

Date of Inspection: 19 September 2013
Date of Publication: 15 October 2013
Inspection Report published 15 October 2013 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

We looked at the personal care or treatment records of people who use the service, carried out a visit on 19 September 2013, observed how people were being cared for and checked how people were cared for at each stage of their treatment and care. We talked with people who use the service, talked with carers and / or family members and talked with staff.

Our judgement

Care and treatment was planned and delivered to ensure people's safety and welfare.

Reasons for our judgement

We looked at this outcome because there had been an unexpected death at the home. We looked at the person’s care file and spoke to staff. We found that risks relating to the person’s condition were well understood and there had been frequent GP involvement and discussion around risks to the person’s health. Staff had followed professional advice.

We spoke to four people about their experience of living at Donness Nursing Home and each spoke favourably about it. We were told, "They deal with any health concerns promptly"; "They were marvellous when Xxxx was very ill", "The staff are excellent. They really look after you" and "The staff are nice".

We saw that people were supported to maintain their individuality with a good standard of personal care. People knew the day they had a bath or shower and they said they did not mind that arrangement. They confirmed that they were supported to receive eye, foot and dental care. We saw from the home's diary and four people's records that GPs, consultants, and other external health care advice, was sought and arranged as required.

We saw from staff records and talking to staff that training in conditions associated with people's needs was provided. This included pressure damage prevention and epilepsy awareness. Staff told us that they had the equipment they required to keep people safe from risks, such as pressure sores and cross-infection, and keep them comfortable.

We heard and observed staff working with people. They were polite, took their time with people and appeared caring and friendly.

We looked at four people's care files. Care plans described people's needs and how those needs were to be met, in detail. Staff said that the care plan records had been improved and the information was now more readily available for them to find. This meant that people were more likely to receive the correct care in a timely way.

People were unsure whether they were involved in their care planning but they said that all the care they received they were happy and in agreement with. We saw that some people had signed to say they agreed with their care plan where they were able to do so.

The people we spoke with said that they liked to stay in their rooms but they were aware of activities and entertainment arranged within the home. The registered manager told us of twice weekly activities including music and movement and quizzes. We saw that entertainers visited the home and people talked about visits to the sea, which could be viewed from many people’s bedrooms. People’s bedrooms were very personal and individual to them. This showed that people’s individuality was supported.