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Dovecote Residential and Nursing Home

The provider of this service changed - see old profile

We have not inspected this service yet

Inspection summaries and ratings from previous provider


Overall summary & rating

Requires improvement

Updated 21 February 2020

About the service

Dovecote Residential and Nursing Home is a care home providing personal and nursing care to 45 people aged 65 and over at the time of the inspection. The service can support up to 61 people across two floors. Nursing care was provided on each floor.

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

The provider had introduced an electronic care records system and archived people’s paper care plans. The new system did not permit staff to add more than one plan, subsequently information was missing from the records of people with more complex needs. Staff had received insufficient training and support to use the new records. This resulted in poor record keeping and people were placed at risk of receiving inappropriate treatment. During the inspection and after our site visits the management team provided reassurances actions would be taken to address the deficits. Work was started immediately to make improvements.

Recruitment of staff was safe. Staff underwent pre-employment checks before they began working in the service. Staff were supported through an induction and with supervision. Some staff needed to bring their training up to date.

The provider had systems in place to maintain people’s safety. Whilst regular fire and safety checks were carried out to ensure people lived in a safe building, there were some safety aspects of the service which needed to be addressed. The home was clean and tidy. Actions had been taken to make improvements to the bathrooms.

There were examples where people’s dignity was compromised. People told us staff acted in a kind and caring manner towards them. One person said, “All of the staff here are lovely - happy to help you and they have a joke as well, with you. They are kept very busy.” Relatives felt welcomed in the service.

Audits use to monitor the service had not found the areas of the service which required improvement.

Further work was required to develop people's communication plans so staff were able to make information accessible to people. We have made a recommendation about this.

People’s medicines were managed in a safe manner. Improvements had been made to the use of topical medicines.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People told us they enjoyed the food. One person said, “I have no complaints with the food here it’s not bad at all.”

Staff worked with visiting healthcare professionals to promote people’s health and well-being.

Staff, people and relatives were complementary about the registered manager. Staff felt supported by them.

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 last rating for this service was requires improvement (published 15 February 2019) The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection, not enough improvement had not been made and the provider was still in breach of regulations.

Why we inspected

We carried out this inspection earlier than planned. This was prompted in part due to concerns received about the number of safeguarding incidents and concerns about inaccurate records. A decision was made for us to inspect and examine those risks. We found evidence that the provider needs to make improvements. Please see the key question sections of this full report.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concern

Inspection areas

Safe

Requires improvement

Updated 21 February 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 21 February 2020

The service was not always effective.

Details are in our effective findings below.

Caring

Requires improvement

Updated 21 February 2020

The service was not always caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 21 February 2020

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 21 February 2020

The service was not always well-led.

Details are in our well-led findings below.