Davers Court

Updated 17 November 2022

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

Two inspectors visited the service on day one of the inspection, and one inspector visited on day two. Following the site visit an inspector made telephone calls to relatives and staff.

Service and service type

Davers Court is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Davers Court is a care home without nursing care. 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 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 liaised with members of the local authority and reviewed information held on our system about this service. We used all this information to plan our inspection.

During the inspection

We spoke with 11 members of staff, the registered manager and three area managers. We spoke to nine people living at the service and ten relatives.

We reviewed a range of records, including people’s care records and medication 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 and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found.

Updated 17 November 2022

Davers Court is a purpose built care home providing accommodation, and personal care for up to 60 people. The service operates across four separate units and provides care to people with a wide range of needs including care to people living with dementia. At the time of our inspection there were 60 people using the service.

The service had enough staff to keep people safe, but they were dependent on agency staff which impacted on the consistency of care. We have made a recommendation about ongoing monitoring of staffing levels. There were systems in place to monitor the quality of care and the safety of the service, but these had not been adapted to take account of the services dependency on agency staff and the impact on people.

Staff understood their safeguarding responsibilities and how to protect people from poor care and abuse. Care staff were recruited safely.

Staff assessed risks people might face and took steps to reduce the likelihood of harm. The environment was well maintained, and systems were in place to check equipment to ensure it was safe.

Staff supported people to take their medicines safely and as prescribed.

The provider had minimised the risks of infection, such as COVID-19. Relatives told us that they were made feel very welcome when they visited their family members.

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's care plans were detailed and informative and reflected their needs. People and those important to them were involved in planning their care.

Staff enabled people to access health and social care support. They supported people to eat and drink in line with their preferences.

People felt able to raise concerns and were confident they would be listened to and action taken.

People told us that they were happy at Davers Court received care from kind and compassionate staff who respected their privacy and dignity.

People had access to a range of activities and social opportunities. Staff communicated with people in ways that met their needs.

The provider had a range of systems in place to ascertain the views of people, relatives and staff. This included resident meetings and satisfaction surveys.

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 outstanding (published 27 March 2020).

Why we inspected

This inspection was prompted by a review of the information we held about this service. The overall rating for the service has changed from outstanding to good based on the findings of this inspection.

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

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.