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The New Deanery Care Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 31 May 2019

About the service: The New Deanery is a residential care home that was providing personal and nursing care to 68 people aged 65 and over at the time of the inspection.

People’s experience of using this service:

People told us they felt happy and safe living at The New Deanery. People told us there was a wide range of activities and they were supported by kind, compassionate staff who took a real interest in them. People told us, and records confirmed, they were given plenty of opportunities to provide feedback about their care, and the provider acted on any concerns they raised. People spoke very highly of the standard of decoration in the home and the quality of the gardens which were well maintained and well used by people. People and relatives told us they appreciated the range of different spaces within the home where they could meet with visitors and spend time.

Some people were less positive about their experience of care, and we found this reflected the inconsistencies we found in the quality of care plans and risk assessments. Some risk assessments and care plans were less personalised, detailed and up to date and this meant there were risks that people did not always receive personalised care. Assessments did not consider the impact people's sexual and gender identity may have on their care. We have made a recommendation about this.

People told us staff supported them to attend medical appointments and to take their medicines. The provider updated medicines information in response to issues we found during the inspection.

People were supported by staff who understood the values of the organisation, and had received the training and support they needed to perform their roles. Staff felt valued and were rewarded when they demonstrated the values of the organisation.

There were various different audit and quality assurance systems in place. These had not always operated effectively and had not identified the issues we found during the inspection with medicines information and the consistency of care plans. The provider had not submitted notifications to us as required by law.

The provider worked closely with the local authority quality improvement team and other organisations to keep up to date with best practice in the field. They were piloting new technology and systems to support people to maintain their independence.

Rating at last inspection: The service was rated Good when it was last inspected in August 2016.

Why we inspected: This was a scheduled inspection.

Enforcement: Please see the end of the full version of this report for details of the actions we told the provider to take.

Follow up: We will require an action plan and will closely monitor the service. We will return to complete a further inspection in line with our published policies and procedures.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Inspection areas

Safe

Requires improvement

Updated 31 May 2019

The service was not always safe.

See details in our Safe findings below.

Effective

Good

Updated 31 May 2019

The service was effective.

See details in our Effective findings below.

Caring

Good

Updated 31 May 2019

The service was caring.

See details in our Caring findings below.

Responsive

Requires improvement

Updated 31 May 2019

The service was not always responsive.

See details in our Responsive findings below.

Well-led

Requires improvement

Updated 31 May 2019

The service was not always well led.

See details in our Well-Led findings below.