Doneraile Residential Care Home

Updated 3 April 2020

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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team

The inspection team consisted of one inspector.

Service and service type

Doneraile is a 'care home'. People in care homes receive accommodation and personal care as single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at on this inspection.

The service had a manager registered with the Care Quality Commission. 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

We announced the inspection late the day before because we wanted to be sure the service was open to visitors, in line with CQC policy at that time about CVOID-19.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We also reviewed information that we held about the service such as notifications. These are events that happen in the service that the provider is required to tell us about. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with seven people who used the service and three relatives about their experience of the care provided. We spoke with the registered and assistant managers, seven care staff and a visiting healthcare professional.

We reviewed a range of records. This included three people’s care records and a sample of medicine records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies, procedures and staff training records were reviewed.

Updated 3 April 2020

About the service

Doneraile is a care home that provides personal care for up to 24 predominantly older people. At the time of the inspection 22 people were living at the service. Some of these people were living with dementia.

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

Management and staff had a strong set of values which focused on supporting people in line with their preferences and needs. They knew people well and ensured their care was delivered in a way which achieved good outcomes and enabled people to live their lives as they wished. People were treated as individuals and staff had a good understanding of their backgrounds, personal likes and dislikes and health needs.

The provider had acted on a recommendation made at the last inspection about the developing and recording of person-centred care plans to enable individualised care for people. At this inspection we found improvements had been made. Records of people's care were individualised and reflected each person’s needs and preferences. Risks were identified and staff had guidance to help them support people to reduce the risk of avoidable harm.

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 told us they considered the service to be safe and people’s health needs were met. Any changes in people’s health were escalated to the relevant professional and relatives were kept informed.

Staff were recruited safely in sufficient numbers to ensure people’s needs were met. There was time for people to have social interaction and activity with staff. Staff knew how to keep people safe from harm. Staff had received appropriate training and support to enable them to carry out their role safely, including the management of medicines.

The premises were clean and well maintained. People had access to equipment where needed. The gardens were accessible and there was garden furniture for people to use in the summer. Activities were provided and people were encouraged to take part in various social events, both in and outside of the home.

People were involved in meal planning and staff encouraged them to eat a well-balanced diet and make healthy eating choices.

People and their families were given information about how to complain and details of the complaints procedure were displayed at the service. People, their relatives and staff told us the providers were approachable and listened when any concerns or ideas were raised.

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 good. (Report published on 18 July 2017). At the last inspection we made a recommendation. At this inspection we found improvements had been made and the rating has remained good.

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.