Doves Nest Nursing Home

Updated 16 February 2022

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

As part of CQC’s response to the COVID-19 pandemic we are looking at how services manage infection control and visiting arrangements. This was a targeted inspection looking at the infection prevention and control measures the provider had in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.

This inspection took place on 31 January 2022 and was announced. We gave the service 24 hours’ notice of the inspection.

Updated 16 February 2022

Doves Nest Nursing Home is registered to provide accommodation and nursing care for older and younger age adults. Accommodation is located across three floors, with a passenger lift available between floors. One floor specialises in providing care to younger people living with complex physical disability needs. The service is registered to support up to 40 but supports a maximum of 36 people at any one time. There were 33 people living at the service at the time of this inspection.

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

People told us they felt safe and risks to people’s health and safety were managed well. People’s needs were met safely with appropriate staffing levels and well trained staff. People were supported by staff who understood how to identify and report potential abuse. People received their medicines as prescribed although some processes could be improved. We have made a recommendation about the storage of medicines awaiting disposal and the recording of thickeners. When accidents or incidents occurred, learning was identified to reduce the risk of them happening again. Checks were carried out on new staff to ensure they were suitable to work in the home. Infection control was well managed and the home was clean and free from hazards.

Staff had opportunities for regular meetings, reviews of performance and access to mandatory and bespoke training. The home worked in tandem with other health professionals to make sure people received the right care and support to maintain good health. Meal time experiences were unhurried and pleasant on both days of our inspection and one person described the food as, “always good and home cooked.”

Staff placed people at the centre of the service, ensuring those who were able to maintained their own independence. Staff promoted positive, caring relationships with the people who lived at the service. Staff respected people’s privacy and dignity and promoted independence, equality and diversity. There was no discrimination in the service. The service involved people and their relatives in the planning and delivery of care.

The service promoted a person-centred approach and people living at Doves Nest Nursing Home achieved good outcomes. Care plans were individualised and reflected people’s specific care needs. There was a good range of activities and events going on in the home and in the community. People and their relatives were confident to raise issues and concerns. Complaints procedures were effective. The service sought feedback to help maintain and improve standards of care. People's wishes regarding their end of life care were explored and documented, so these could be addressed at the appropriate time. The service had received many compliments from relatives following the care and support their family members had received at the end of their lives.

People living at Doves Nest, their relatives and staff all considered the service was managed well. The service operated in a way that demonstrated there was an open and transparent culture at the service. Staff told us they received the leadership and direction they needed. They were happy working at the service and felt part of a team. The service had effective systems of quality assurance in place which assessed and monitored the quality of the service. As the registered manager was also the nominated individual they had the opportunity to take on board ideas and suggestions about how to improve the quality of the service and implement change.

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.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was Requires Improvement (29 March 2019).

Why we inspected

This was a planned inspection based on the previous rating.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Doves Nest on our website at www.cqc.org.uk.