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The Dower House Nursing Home Good

Inspection Summary


Overall summary & rating

Good

Updated 9 October 2020

The Dower House Nursing Home is a nursing care home providing personal and nursing care to people. The Dower House Nursing Home accommodates up to 43 people, some of whom may have a physical disability or be receiving end of life care.

The Dower House Nursing Home is a 'care home'. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided.

We found the following examples of good practice.

• People were supported to keep in touch with families and visits were planned and well organised to reduce risk and avoid the potential spread of infection.

• Information was easily accessible on arrival, or before visits, to ensure visitors followed guidance, procedures and protocols to ensure compliance with infection prevention control. The provider sent out regular newsletters to residents and relatives with clear visiting guidelines and procedures prior to any relatives visiting.

• Alternative forms of maintaining social contact were used for friends and relatives. For example, keeping in touch using video calls, weekly newsletters to family members, visiting in the communal garden or through meeting at a window with tables set up either side of the window to ensure social distancing is supported. Each person had access to a telephone in their room and staff were available to support if required. If people had other communication devices staff were available to support. There was the availability of a laptop within the home for people to access if needed. E-mails from relatives were encouraged and printed out for people.

• The provider had implemented socially distanced meetings for people to keep them updated and involved. Group video calling technology was also utilised to include relatives in meetings.

• All visitors were screened for symptoms of acute respiratory infection before being allowed to enter the home, alongside having their temperatures taken. Visitors had no contact with other residents and had minimal contact with care home staff.

• Facilities were in place to wash hands for 20 seconds, or to use hand sanitiser, on entering and leaving the home.

• There was prominent signage and instructions to explain what people should do to ensure safety. Plastic or glass barriers were used to help prevent infection but did not restrict people’s access and mobility.

• Admissions from hospital or interim care facilities, and new residents admitted from the community, were isolated for 14 days within their own room.

• People were assessed twice daily for the development of a high temperature (37.8°C or above), a cough, as well as for other signs such as shortness of breath, loss of appetite, confusion, diarrhoea or vomiting.

• All staff in high risk groups such as Black, Asian and minority ethnic (BAME) had been risk assessed, and adjustments had been made.

• All members of staff worked in only one care setting, this included part-time and agency staff.

• Staff were trained and knew how to immediately instigate full infection control measures to care for people with symptoms to avoid the virus spreading to other people and staff members.

• Arrangements were in place so staff could appropriately socially distance during breaks, handovers and meetings.

• Staff had received training from an Infection Prevention and Control (IPC) specialist.

• A testing scheme for all staff and residents had been implemented, known as ‘whole home testing’. The provider had tests for regular 'whole home testing' as well as tests for any suspected or symptomatic residents or staff.

• Staff wore a fluid repellent surgical mask, gloves and apron when delivering personal care to all people. Use of personal protective equipment (PPE) was in accordance with current government guidelines COVID-19 PPE. We observed staff to be wearing PPE as per guidelines. Disposal of used PPE prevented cross-contamination as it followed local pr

Inspection areas

Safe

Good

Updated 9 October 2020

We were assured that people were protected by the prevention and control of infection.

Effective

Good

Updated 9 October 2020

Caring

Good

Updated 9 October 2020

Responsive

Good

Updated 9 October 2020

Well-led

Good

Updated 9 October 2020