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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

The service should have quality checking systems to manage risks and assure the health, welfare and safety of people who receive care (outcome 16)

Meeting this standard

We checked that people who use this service

  • Benefit from safe quality care, treatment and support, due to effective decision making and the management of risks to their health, welfare and safety.

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

The provider had an effective system to regularly assess and monitor the quality of service that people receive.

Reasons for our judgement

Our inspection of 14 February 2013 found that people were not protected against the risks of inappropriate or unsafe care because risks to their safety and welfare were not effectively identified or managed. The provider wrote to us and told us the improvements they intended to make.

When we visited most areas of the home we saw that unevenness in floor areas was now identified with hazard tape and we found no environmental risks that were unmanaged. We looked at the home's records of incidents and accidents. These were kept within each person's file but an additional log was used for the registered manager to review and look for any trends, so that identified risks could be reduced. We saw that each accident logged was signed when this review had taken place. We had not received any notifications of serious injury since March 2013. We confirmed that our records were correct through the home's records and from talking to the registered manager and senior staff. This showed that people were being protected.

We saw that previously poor record keeping had been addressed and that care plans had been revised and improved. We found that the home had worked hard to improve the standard of service, which staff told us, "had slipped."

We asked people what they would do if they had any concerns or complaints. They told us that they had every confidence in the registered manager that concerns would be addressed to their satisfaction. One person gave an example of having done so. One person told us, "I like the Matron" and another said "(The Matron) is very good. Any ideas you have got - they listen."

We saw that people were involved in their care planning which gave them the opportunity to raise any issues. We saw that relatives had completed some feedback questionnaires about the home. Questions included: 'How do you rate the care?' The majority of the responses were positive and we saw that people were happy to suggest improvement which showed an open and friendly culture at the home.