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Inspection Summary


Overall summary & rating

Good

Updated 24 November 2020

Dewdown House is a care home that provides accommodation with personal care, over three floors for up to 40 people. At the time of this targeted inspection 31 people were living in the home, and three people were in hospital.

We found the following examples of good practice.

• The care home was in 'lockdown' due to the significant outbreak of Covid-19 in the home. Health professional visits were undertaken only when telephone or video calls were not sufficient, and end of life visits from relatives were permitted, with safety protocols in place. Staff greeted visitors at the entrance to the home and explained the safety procedures in place. Visitors had their temperature checked on arrival and were provided with personal protective equipment (PPE) that included gloves, aprons and facemasks.

• People had been supported to maintain contact with their loved ones, through video and phone calls. People were being isolated in their rooms at the time of our inspection. Ancillary staff, such as catering, housekeeping and laundry staff were not going into people's rooms during this time. This was to reduce the contact between people using the service and staff to a minimum.

• The registered manager recognised the potential detrimental physical and emotional effects on people from being isolated. Some people were becoming less mobile and it had been noted that some people's food and fluid intake had reduced. The registered manager and staff team were providing additional support with nutrition, with the offer of additional snacks and smoothie drinks. People were encouraged to exercise and move around in their bedrooms. Additional televisions had been purchased to provide entertainment for people. Staff encouraged people to do puzzles and other games that they could complete on their own in their rooms. One person enjoyed using a voice command electronic device to listen to their favourite music and sounds.

• Regular testing for Covid-19 was being undertaken. Staff were tested weekly, and people using the service were tested monthly. For people who used the service that had a positive Covid-19 test, re-testing was planned to be undertaken 90 days after their positive diagnosis. This was in line with national guidance.

• Dewdown House had policies, procedures and contingency plans in place. Staff had received training and regular updates. A Covid-19 file with updated information, was available for staff to read. The registered manager told us they completed daily ‘spot checks’ to make sure staff understood and complied with the safe use of PPE and followed safe infection prevention and control practices.

• There was regular communication and weekly video conference meetings with the registered manager, and a team of health professionals, chaired by the local authority consultant in health protection. The minutes from the most recent meeting noted the registered manager was 'doing a good job of managing the outbreak'. The registered manager told us they were well supported by the team of health professionals, including their local GP, who completed fortnightly video calls.

Inspection areas

Safe

Good

Updated 24 November 2020

We were assured the service were following safe infection prevention and control procedures to keep people safe

Effective

Good

Updated 24 November 2020

Caring

Good

Updated 24 November 2020

Responsive

Good

Updated 24 November 2020

Well-led

Good

Updated 24 November 2020