Background to this inspection
Updated
12 December 2019
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
The inspection was carried out by an inspector on the first day and an inspector and assistant inspector on the second and third days.
Service and service type
New Dawn Court 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, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
The first day of this inspection was unannounced. The second day of the inspection was unannounced however the provider was aware that we would be returning. The third day of the inspection was announced.
What we did before the inspection
We reviewed information we had received about the service. We sought feedback from the local authority who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection
During the inspection
We spoke with two people who used the service, five relatives and friends and a visiting healthcare professional about their experience of the care provided. We spoke with 15 members of staff including the registered manager, deputy manager, two nurses, a senior care worker, care workers, the maintenance person, activities organiser, cook, cleaner and an agency member of staff.
We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
We reviewed a range of records including people’s care records. We looked at three staff files in relation to recruitment. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the registered manager about staff training, quality assurance, audits and action plans.
Updated
12 December 2019
About the service
New Dawn Court is a residential care home providing personal care to 31 people at the time of the inspection. The service can support up to 39 people in one adapted building.
People’s experience of using this service and what we found
People were not always treated with dignity and respect or supported to maintain their appearance in line with their personal preferences.
People's experience of meal times was not always positive. The serving of meals was task led and some people were not offered a choice.
The systems in place to monitor the quality of the service were not effective and had not always highlighted or addressed the concerns identified during this inspection.
The provider had not ensured that staff had always had the skills and competence to carry out their roles.
Risks to people's health and safety were not always identified, managed and mitigated appropriately.
Care plans and risk assessments were not always up to date or provide staff with the information they required to provide person-centred care. Staff were able to tell us about people and how they preferred their support to be carried out.
People's medicines were administered safely but some improvements were needed to make sure records were up to date and accurate.
People enjoyed the visiting entertainers but some people were not supported to participate in activities that were meaningful to them.
People were supported to have maximum choice and control of their lives and staff supported support them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 27 March 2018 and this is the first inspection.
Why we inspected
This was a planned inspection.
We have found evidence that the provider needs to make improvements. Please see the Safe, Effective, Caring Responsive and Well-Led sections of this full report.
The provider has taken some action to mitigate the risks identified by implementing an action plan.
Enforcement
We have identified breaches in relation to the safety of the service, staff training, person centred care, treating people with dignity and respect, overall governance and informing the CQC of incidents that occurred at the service.
Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.
You can see what action we have asked the provider to take at the end of this full report.
Follow up
We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.