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Damfield Gardens Requires improvement

Inspection Summary

Overall summary & rating

Requires improvement

Updated 3 May 2019

About the service:

Damfield Gardens is a purpose-built care home in Maghull that offers residential care for older people and specialises in care for those living with dementia. The service can accommodate up to 67 people. Following our last inspection, the provider voluntarily stopped admissions, but recently commenced this again and when we visited there were 42 people living at the service.

People’s experience of using this service:

At the last inspection in November 2018 we asked the provider to make several improvements. This included the management of medicines and risks to people’s safety, governance and record-keeping, levels and consistency of competent staff, as well as person-centred care. The provider met with us following the inspection and sent us an action plan as well as regular updates. At this inspection we found some actions had been completed, but others required further improvement.

Although the provider had made good improvements to the management of people’s medicines, there were still some aspects that were not always safe. The management of known risks to people’s safety, the planning around this, as well as record-keeping, governance and quality assurance processes were still not always effective.

We recognised that staff had worked well together and as a team had made noticeable improvements to the quality of the service and ultimately people’s experience of it. Through getting to know and understand people better and developing their own skills and confidence, the service demonstrated clear progress. The provider had focussed on improving person-centred care and the quality of people’s service through an increased offer of meaningful activities and a better dining experience. There were now more consistent levels of competent staff, although some aspects needed further attention. We made a recommendation regarding this.

People told us they felt safe living at the service and we read relatives comments that stated, “I can sleep at night now knowing [my relative] is in safe hands.” Staff told us they had previously been worried about the service, but they were not now. People and their relatives praised the staff team and we observed warm, caring and patient interactions in a noticeably more relaxed atmosphere. Staff felt well supported and told us how much they enjoyed working with the people living at Damfield Gardens. People, relatives and staff were involved in the development of the service through regular meetings that had been introduced.

Rating at last inspection:

At the last inspection (20 November 2018) we rated the service as Inadequate for Safe, Requires Improvement for all other key questions and therefore Requires Improvement overall. At this inspection, we found the provider had made improvements which led to a better rating for Safe, Caring and Responsive. The overall rating remained unchanged.

Why we inspected:

This was a planned inspection, based on the service’s previous rating. We inspected to check whether necessary improvements had been made.


Please see the ‘action we have told the provider to take’ section towards the end of the report.

Follow up:

We will continue to monitor the service through the provider’s action plan updates, notifications and conversations.

For more details, please see the full report which is on the CQC website at

Inspection areas


Requires improvement

Updated 3 May 2019

The service was not always safe.

Details are in our Safe findings below.


Requires improvement

Updated 3 May 2019

The service was not always effective.

Details are in our Effective findings below.



Updated 3 May 2019

The service was caring.

Details are in our Caring findings below.



Updated 3 May 2019

The service was responsive.

Details are in our Responsive findings below.


Requires improvement

Updated 3 May 2019

The service was not always well-led.

Details are in our Well-Led findings below.