You are here

Dunwood Manor Nursing Home Good

Inspection Summary


Overall summary & rating

Good

Updated 5 December 2019

About the service

Dunwood Manor Nursing Home is an extended and renovated country house set in large grounds. It provides personal and nursing care to up to 55 people. There were 43 people using the service when we inspected. There are two units. The Willows supports people who are physically frail or have complex health care needs. The Beeches cares for people living with dementia, some of whom also had frail physical health. Both units are nurse led and are arranged over two floors.

People’s experience of using this service and what we found

People told us they felt safe. Whilst most risks had been assessed and planned for, there were some areas where risk reduction measures needed to be more robust. There were sufficient numbers of staff to ensure that people were cared for safely, although some concerns were raised about the timeliness of support, the regular use of agency staff and the impact of this on the continuity and quality of care provided. Medicines were administered safely by staff who had received training and had been assessed as competent. There were some areas where staff could further embed best practice frameworks in relation to the management of medicines. There were systems in place to learn from safety events. However, there were a number of incident reports relating to unexplained bruising which although investigated had not been escalated to the local authority. The service was visibly clean throughout and no malodours were noted. Staff received training in safeguarding adults from harm and had a positive attitude to reporting concerns.

People needs were assessed and planned for. Staff were suitably trained, well supported and had the necessary skills and knowledge to perform their roles and meet their responsibilities. People’s nutritional needs were met, although there was room to improve the mealtime experience for some people. The design and layout of the building could be further improved to support those living with dementia. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests.

People had developed caring and meaningful relationships with staff. Where people could make decisions about their care, they were encouraged to do so, and this helped them to feel that they had control over their lives. Staff understood the importance of providing dignified care and supporting people to maintain their independence.

Overall people received person centred care that met their individual needs. People's communication needs were identified and planned for. People expressed confidence that they could raise any issues or concerns with any member of staff or the management team and that these would be addressed. The registered manager was passionate about providing people with a dignified and pain free death and the systems within the service supported this.

Feedback about the registered manager was positive and demonstrated that people, their relatives and health care professionals had confidence in their ability to lead the service and drive ongoing improvements. People and their relatives were consulted and involved on an ongoing basis about their care and wider issues within the home. The registered manager was open and collaborative and worked in partnership with local organisations and agencies to strengthen local relationships and improve care.

Rating at last inspection

The last rating for this service was ‘Good’ (April 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

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 5 December 2019

The service was not always safe

Details are in our Safe findings below.

Effective

Good

Updated 5 December 2019

The service was effective

Details are in our Effective findings below.

Caring

Good

Updated 5 December 2019

The service was caring

Details are in our Caring findings below.

Responsive

Good

Updated 5 December 2019

The service was responsive

Details are in our Responsive findings below.

Well-led

Good

Updated 5 December 2019

The service was well-led

Details are in our Well-Led findings below.