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Dukeminster Court Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 17 February 2021

About the service

Dukeminster Court is a residential care home providing personal care to people aged 65 and over, some of whom live with dementia. At the time of the inspection 53 people were living in the home. The service can support up to 75 people. The home is purpose-built over five units accommodating three floors. Some units specialise in providing care to people living with dementia.

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

The individual risks to some people had not been identified, assessed or fully managed. This had resulted in harm to some people and put others at risk of harm. The service’s current quality monitoring systems had failed to identify and rectify this although a new system was being introduced at the time of this inspection. Not everyone we spoke with felt there were consistently enough staff to meet people’s needs promptly which meant there was sometimes a delay in people receiving assistance.

People received their medicines as prescribed and good processes were in place to help protect them against the risk of infection. Safe recruitment practices were followed and regular maintenance and servicing meant the environment and equipment remained safe.

People told us they were happy living in the service and relatives spoke positively about the home, it’s management and staff. There was a positive culture amongst the staff and team work was effective and supportive. People were involved in their care and support and relatives were kept updated in relation to the health and wellbeing of their family members. People told us they would recommend the home. One person who used the service told us, “I like living here. Everyone is so nice to me.”

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

Rating at last inspection and update

The last rating for this service was requires improvement (report published on 18 February 2020) and there were two breaches of regulation. The provider completed an action plan after the last inspection to show what they would do, and by when, to improve. At this inspection enough improvement had not been made and the provider was still in breach of regulations. The service has been rated requires improvement for the last two consecutive inspections.

Why we inspected

We received concerns in relation to the management of falls. As a result, we undertook a focused inspection to review the key questions of Safe and Well-led only.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.

We have found evidence that the provider needs to make improvements. Please see the Safe and Well-led sections of this full report. You can see what action we have asked the provider to take at the end of this full report.

The overall rating for the service remains as requires improvement.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.

We have identified breaches in relation to the safe care and treatment of people and governance at this inspection.

Ple

Inspection areas

Safe

Requires improvement

Updated 17 February 2021

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 17 February 2021

Caring

Requires improvement

Updated 17 February 2021

Responsive

Requires improvement

Updated 17 February 2021

Well-led

Requires improvement

Updated 17 February 2021

The service was not always well-led.

Details are in our well-Led findings below.