Archived: Dapplemere Nursing Home

Updated 1 March 2018

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, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 31 October 2017 and was unannounced. The inspection was undertaken by one inspector 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. The experts used for this inspection had experience of a family member using this type of service.

Before the inspection, we reviewed the information available to us about the service such as information from the local authority, information received about the service and notifications. A notification is information about important events which the provider is required to send us by law. We found that no recent concerns had been raised.

During the inspection we spoke with five people who lived at the service and two relatives. We also spoke with two care workers, one chef, one nurse and the registered manager.

We carried out observations of the interactions between staff and the people living at the service. We reviewed the care records and risk assessments of three people who lived at the service and also checked medicines administration records to ensure these were reflective of people’s current needs.

We looked at three staff records and the training records for all the staff employed at the service to ensure that staff training was up to date. We reviewed additional information on how the quality of the service was monitored and managed to drive future improvement.

Updated 1 March 2018

Dapplemere Nursing Home is registered to provide accommodation and nursing care for up to 22 people. Some people may be living with dementia. At the time of our inspection there were 19 people living at the service.

At the last inspection in August 2016, the service was rated Good.

At this inspection we found the service remained Good.

The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People's needs had been assessed prior to admission at the service and individualised care plans took account of their needs however we found that there was a lack of information in relation to people’s preferences and wishes. This had been identified by the registered manager through care plan audits and was being addressed with the provider. People and their relatives felt involved in the care planning process and the care plans and risk assessments viewed had been regularly reviewed and updated.

People felt safe and were supported by staff who knew how to recognise and report any concerns. All members of staff had received safeguarding training and there were effective safeguarding procedures in place. Potential risks to people whilst receiving support and care had been identified and assessed.

The service had sufficient numbers of staff on duty to meet people's needs however some people did describe experiencing some delays in receiving care. Staff had been recruited safely, received ongoing training and were supported in their roles. Regular supervision and team meetings provided opportunities for staff to be involved in the development of the service and kept up to date with any changes.

People felt that staff were kind, caring and attentive to their needs. People felt that privacy and dignity was maintained and promoted throughout their care.

People were supported to make decisions about their care and support. Decisions made on behalf of people were in line with the principles of the Mental Capacity Act 2005 (MCA) and the associated Deprivation of Liberty Safeguards (DoLS).

People were satisfied with the meals provided to them and were offered a varied menu. People were supported to access the services of health and care professionals to maintain their health and wellbeing.

There was a system in place for receiving and investigating complaints. People we spoke with knew who they could raise concerns with and felt confident any concerns raised were listened to.

The service had a registered manager who was supported by a deputy manager. People, relatives and staff felt the service was well managed and spoke positively regarding the management team.

Quality assurance processes were in place to monitor the quality of the service. Feedback on the service and comments were encouraged and a satisfaction survey had recently been commenced. The registered manager used a variety of audits to monitor the service provided and took action where identified as required.