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Inspection Summary


Overall summary & rating

Good

Updated 27 August 2020

About the service

Donwell House is a care home providing personal and nursing care for up to 63 people, some of whom are living with dementia. At the time of the inspection there were 52 people living at the home. Bedrooms are situated on two floors with people having access to communal lounges and dining areas.

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

At the last inspection we found improvements were required to ensure people received person-centred care. At this inspection improvements to care planning and reviews had been sustained, with people’s individualities and interests factored in to care planning and activities provision. Activities were meaningful and had a positive impact on people’s wellbeing. Sufficient improvement had been made at this inspection and the provider was no longer in breach of regulation 9.

At the last inspection of the service the provider had failed to ensure governance systems were sufficiently effective to monitor and improve the quality and safety of the service. Since the last inspection the registered manager and leadership team had made a range of improvements. Quality assurance and audit processes were robust and action plans adhered to. Strong links had been made with community groups and interactions with external health and social care teams were positive, with consistently strong feedback. Sufficient improvement had been made at this inspection and the provider was no longer in breach of regulation 17.

At the last inspection we found improvements were required regarding meal choices and standards. Improvements to menu planning, meal preparation and inclusion of people to value and respect their choices had been implemented since the last inspection. Feedback was consistently positive regarding the standard and choice of meals and we observed positive and patient interactions during lunchtime. Sufficient improvement had been made at this inspection.

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 service was rated requires improvement at the last inspection (published 30 September 2019). Following the inspection, the provider submitted an action plan to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

We completed this focused inspection to make sure they had followed their action plan and to confirm they now met legal requirements. This report covers our findings in relation to those three key domains: effective, responsive and well-led.

As part of CQC’s response to the coronavirus pandemic we are also conducting a thematic review of infection control and prevention measures in care homes. The Safe domain also therefore contains information around assurances we gained from the registered manager regarding infection control and prevention.

The ratings from the previous comprehensive inspection for those key domains not looked at during this inspection were used in calculating the overall rating for this inspection. The overall rating for the service therefore has improved to good based on the findings at this inspection.

You can read the report from our last comprehensive inspection by selecting the ‘all reports’ link for Donwell House on our website at www.cqc.org.uk

Follow up

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

Inspection areas

Safe

Good

Updated 27 August 2020

Inspected but not rated.

Effective

Good

Updated 27 August 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 27 August 2020

Responsive

Good

Updated 27 August 2020

The service was responsive.

Details are in our well-Led findings below.

Well-led

Good

Updated 27 August 2020

The service was well-led.

Details are in our well-Led findings below.