Daisy Nook House

Updated 18 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 undertook the inspection on day 1. Two inspectors and an Expert by Experience undertook the inspection on day 2. 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

Daisy Nook House 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. Daisy Nook House 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 on day 1.

What we did before the inspection

We reviewed information we had received about the service. We sought feedback from the local authority and Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. 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 this information to plan our inspection.

During the inspection

We observed how staff provided support for people, to help us better understand their experiences of the care they received. We spoke with 7 people living in the home and 4 relatives. We also spoke with 11 staff including; the registered manager, area director, wellbeing coordinator, kitchen and care staff.

We had a tour of the building with the area director. We reviewed a range of records, including 6 people’s care records, 3 staff recruitment files, records relating to medicines, training and supervision, building maintenance, cleaning and equipment checks, accident and incidents and safeguarding logs and policies and procedures for infection control. Also, a variety of records relating to the management of the service, including audits and policies and procedures were reviewed.

Updated 18 November 2022

About the service

Daisy Nook House is a residential care home providing accommodation and personal to up to 40 people. At the time of our inspection there were 40 people using the service.

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

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.

Everyone we spoke with told us they felt safe living at Daisy Nook House. Risk assessments were comprehensive and were reviewed regularly. All required health and safety checks and certificates were in place. There were sufficient staff to meet people’s needs and all the required pre-employment checks were made prior to staff working at the home. Medicines were stored and administered safely. The risks associated with COVID-19 were assessed and well managed.

People’s needs were assessed, and detailed person-centred support plans and risk assessments were in place to guide staff. Staff received the induction, training and support they needed to carry out their roles effectively. People told us staff were good at their jobs and knew how to provide them with the care and support they needed. People spoke positively about the food. The home was clean, well decorated and furnished.

People were well treated and supported by staff who knew them very well. The home had a friendly relaxed atmosphere. Throughout our inspection, we observed staff to be kind, caring, compassionate and respectful. People were involved in decisions about their care. People's privacy, dignity and independence was respected. People told us they enjoyed living at the home. They said, “Its lovely living here this is the best place ever, everything is wonderful the staff, the food and the care I receive” and “I don’t think I could find a better home.”

People told us they were involved in reviews of their care and support. There was a range of activities available to people, people told us they enjoyed taking part. Relatives told us they were always made to feel welcome and encouraged to visit. One relative said, “The management and the staff are so welcoming and friendly and approachable.” People's individuality was respected.

The service was well managed. People were very complimentary about the registered manager. The registered manager, staff and senior managers were committed to providing responsive person-centred care. Throughout our inspection, we observed all staff and senior management were very pleasant and accommodating. There was a range of detailed quality monitoring, auditing and oversight in place. Relatives told us communication with staff and managers was good. There was a positive approach to learning and improvement.

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

Rating at last inspection

This service was registered with us on 27 August 2021 and this is the first inspection. The last rating for the service under the previous provider was good, published on 3 July 2019.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

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 service, which will help inform when we next inspect.