Dearbourne Manor

Updated 18 August 2023

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 Health and Social Care Act 2008.

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

The inspection was conducted by 2 inspectors and an Expert by Experience. 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

Dearbourne Manor is a nursing 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.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the home. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all of this information to plan our inspection.

During the inspection

We spoke with the registered manager, clinical manager, area manager, 6 staff, 9 people who lived at the home and 3 relatives. We observed how staff interacted with people. We looked at a range of records relating to the management of the home. This included recruitment records, health and safety records, people’s care records, infection control practices and quality assurance records. We considered all this information to help us to make a judgement about the home.

Updated 18 August 2023

Dearbourne Manor provides personal and nursing care for up to 62 people. At the time of the inspection, 39 people were living at the home. The home had three floors, with two floors open at the time of the inspection.

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

People told us they felt safe living at the home. Staff told us they would feel confident in speaking up about poor practice. Risks to people were assessed, recorded and regularly reviewed. There were enough staff on duty to meet people's needs. People told us they received their prescribed medicines on time. Medicines were administered by staff who had the relevant training and their ongoing competency checked. Infection prevention and control procedures were robust and protected people, staff and visitors from harm. Accidents and incidents were recorded and analysed.

Staff had received regular training and supervisions to perform their roles effectively. Staff were supported with their progression; supervisions included discussions around personal and professional development. Staff worked well with healthcare professionals to achieve positive outcomes for people.

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 received kind and compassionate care. Staff understood and responded to people's individual needs. Where appropriate, staff encouraged and enabled people to take positive risks. Staff knew people well and interacted positively with them. People were supported to participate in their chosen social and leisure interests on a regular basis. Staff wanted to support people to have fulfilling lives and to see people achieve their goals and dreams for the future.

The culture, visions and values had been embedded and placed people at the heart of the home. The values instilled by the provider and management team were displayed by all staff. The registered manager was passionate, motivated and determined to achieve the best possible outcomes for people.

There was a strong and effective governance system in place. People, relatives and staff were confident about approaching the registered manager if they needed to. They recognised that their views and feedback were valued and respected. Feedback from staff, people and relatives was positive.

Rating at last inspection

This is the services first inspection, since they registered with us on 1 April 2022.

Why we inspected

This was a planned inspection to check whether the provider was meeting legal requirements and regulations, and to provide a rating for the service as directed by the Care Act 2014.

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 home. If we receive any concerning information we may inspect sooner.