Background to this inspection
Updated
11 December 2021
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.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
One inspector and an Expert by Experience completed the inspection. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Dunollie Residential and Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a 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 CQC. 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
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals 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 five people who used the service and five relatives about their experience of the care provided. We spoke with members of staff including the registered manager, one nurse, one senior care staff, the administrator and the chef.
We reviewed a range of records. This included three people’s care records and multiple medication records. We looked at four staff files in relation to recruitment and staff supervision. 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 provider to validate evidence found. We looked at training data and policies and procedures.
Updated
11 December 2021
About the service
Dunollie Residential and Nursing Home is a residential care home providing personal and nursing care to 50 older and younger adults at the time of this inspection; some of whom were living with dementia or mental health conditions, physical or sensory impairments.
The service can accommodate up to 58 people. The service is split into three separate adapted facilities, the main house, the garden wing and the lodge. One of the facilities specialises in providing care to people with mental health conditions.
People’s experience of using this service and what we found
People felt safe and well looked after. All areas were clean, tidy and there was sufficient cleaning taking place to keep people safe from the risk of infection. Relatives said they were confident that staff provided good care in a safe way.
Recruitment practice was safe, and people said staff were skilled and competent. Staff had received appropriate induction, training and support to enable them to carry out their role.
Systems were in place for the assessment, monitoring and reduction of risk towards people who used the service. The registered manager analysed falls and incidents to ensure learning from events was undertaken. This meant risks to people's health and safety were reduced.
People received their medicines on time and when they needed them. They had access to professional health care workers, which helped to maintain their wellbeing.
Care plans and risk assessments were in place for people's support needs. People and their families confirmed that they were able to contribute their views on care and support.
Communication within the service was good. Relatives were kept informed of their family member’s health and welfare.
Staff were patient, kind and respectful towards people. Care was person-centred and staff had time to chat with people during the day.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice.
An effective auditing process was in place to monitor the quality and safety of service provision. There was organisational learning from significant incidents, and concerns/complaints were well managed.
For more details, please see the full report which is on the Care Quality Commission (CQC) website at www.cqc.org.uk
Rating at last inspection
The last rating for the service under the previous provider was good, published on 14 September 2018.
Why we inspected
This was a planned inspection based on the date the service was registered with CQC.
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 COVID-19 and other infection outbreaks effectively.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.