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Dane View Care Home With Nursing Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 30 August 2019

About the service

Dane View Care Home with Nursing is a residential nursing home providing personal and nursing care, for up to 41 people aged 18 and over. Accommodation is over three floors and provides support to older people, people with a physical disability, sensory impairment and younger adults. At the time of the inspection 15 people were using the service.

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

Medicines were not always managed safely which meant sometimes people did not receive their medicines as prescribed.

Although care plans were in place they provided limited information to describe the care and support people needed. They did not always include some important information individual to the person or include people’s preferences for their end of life care. People did not always receive care that met their needs and preferences.

Staff were aware of risks to people however information about risks and how to manage them was inconsistent. The electronic care planning system made accessing information about people difficult.

Governance systems and processes needed improvement as the current systems did not identify the concerns we or the provider identified.

People told us they liked living at Dane View however felt there were not enough staff to meet all their needs. Staff, although compassionate, kind and caring were under pressure to meet people’s physical needs and were less able to meet their emotional needs.

Although not all staff had received training in safeguarding, they understood their responsibilities, how to recognise the signs of abuse and knew the processes to follow to manage any allegations of abuse.

Accidents and incidents were recorded, investigated but it was not always clear if trends were identified or learning shared with staff.

Staff had not always received appropriate training, induction and supervision. We made a recommendation about this.

Potential risks to people's health and welfare had been assessed, there was limited guidance for staff to reduce risks. Risk assessments had not always been updated in a timely manner when people's needs or health had changed.

Recruitment procedures were not always robust. Systems were not in place to report practice amongst nursing staff that fell short of their professional standards.

The environment did not support people living with dementia to remain as independent as possible. We made a recommendation about this.

People told us they did not feel there were enough activities and they were bored. People liked the meals and were provided with a choice of food and drinks. People were supported to see healthcare professionals when they needed them.

Care plans did not always identify how people were to be supported to have maximum choice and control of their lives. However, staff understood the importance of supporting them in the least restrictive way possible and in their best interests.

A complaints procedure was displayed. People and relatives knew how to raise concerns and were confident these would be dealt with appropriately.

The provider had recognised the service was not meeting the regulated standards prior to our inspection and had taken action to make improvements. They had done this by employing a new manager and providing support and resources to make the necessary improvements. The They were proactive in keeping CQC informed when changes were made.

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 22 November 2018 and this is the first inspection.

Why we inspected:

This inspection was brought forward due to concerns received about the standard of care people were receiving.

We have found evidence that the provider needed to make improvements. We found two breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations in relation to safe handling of medicines and ensuring peopl

Inspection areas

Safe

Requires improvement

Updated 30 August 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 30 August 2019

The service was not always effective.

Details are in our effective findings below.

Caring

Requires improvement

Updated 30 August 2019

The service was not always caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 30 August 2019

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 30 August 2019

The service was not always well-led.

Details are in our well-Led findings below.