We carried out a review of the data available to us about Dovehaven House on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Dovehaven House, you can give feedback on this service.
Dovehaven House is a residential care home providing personal care to up to 40 people. The service provides support to older people, including those living with dementia. At the time of our inspection there were 38 people using the service.
Accommodation is over 2 floors with a lift providing access to the first floor. There was a communal dining room and lounge across both floors. People had access to an outdoor courtyard and a rear enclosed garden.
People’s experience of using this service and what we found
Although we were assured people received their medicines as prescribed, records were not always accurate, such as stock balances of medicines.
Although we were assured people were receiving the care and support they required, records were not always maintained in a way which best evidenced this.
Some audits carried out by the manager did not always contain well defined action plans to help address shortfalls.
We have made a recommendation about the management of medicines and a recommendation that the provider reviews governance systems to ensure record keeping and audit processes are operated effectively.
Staff were recruited safely and there were enough staff to meet people’s needs. Health and safety checks were carried out to ensure the home was a safe environment for people to live in. Risks to people were managed and mitigated by staff to lessen the risk of harm to people.
People and their relatives told us they felt safe living at Dovehaven House. Accidents and incidents were used as learning opportunities to help improve standards. The home appeared clean and well maintained. The home was in the process of undergoing refurbishment to help further improve the quality of peoples’ environment.
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 and their relatives were keen to tell us staff were kind and caring and treated them in a way which respected their dignity and independence. The home facilitated activities and experiences which were meaningful and unique to people.
There was a manager at the service who was in the process of applying to become registered with CQC. We received positive feedback about the impact the manager was having on the home and staff morale. The manager was well supported by the provider and had already identified and was addressing our findings at this inspection.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
Although the home is owned by the same provider as at our last inspection, there has been a change in legal entity (how the provider is registered). The last rating for the service under the previous legal entity was requires improvement, published on 30 July 2021. At that inspection we found breaches of Regulation 12 and 17.
This is the first inspection of this service under the new legal entity.
Why we inspected
We carried out this inspection to award the service a rating under its new legal entity.
We have found evidence that the provider needs to make improvements. Please see the well-led section of this full report.
We also 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, which will help inform when we next inspect.