Davenport Manor

Updated 23 June 2021

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 Care Act 2014.

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

The inspection was undertaken by one inspector.

Service and service type

Davenport Manor is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during 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

This inspection was unannounced.

What we did before the inspection

The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We reviewed information we had received about the service since the last inspection. 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 all of this information to plan our inspection.

During the inspection

We spoke with three people who used the service and four relatives about their experience of the care provided. We spoke with seven members of staff including the registered manager, housekeeper and care workers.

We reviewed a range of records. This included three people’s care records and multiple medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service were reviewed. These included policies and procedures and quality assurance records.

After the inspection

We continued to seek clarification from the registered manager to validate evidence found.

Updated 23 June 2021

About the service

Davenport Manor is a residential care home providing personal care to 30 people at the time of the inspection. The service is registered to support up to 34 people in one adapted building

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

Risks to individuals, including falls and mobility, were assessed and well managed. People’s choices about how their care was provided were identified and respected. Staff had a good understanding of the management of risks. Health and safety checks in the service had been carried out. People had access to a range of health care professionals, records were kept of any medical interventions or visits. People told us they felt safe. Staff were aware of their responsibilities to raise concerns and whistleblowing procedures. People received their medicines as prescribed. There were safe systems for staff recruitment and there were sufficient staff to meet people’s needs.

Risks to people who used the service, staff and visitors relating to infection prevention and control, and specifically Covid-19, had been assessed and appropriate action taken. The registered manager was promoting good infection control and hygiene practices. Staff had received additional training, including handwashing and use of personal protective equipment (PPE).

People and their relatives were positive about the registered manager, the service, the way it was run and the support they received. Everyone talked about the homely feel. A relative told us, “I absolutely love it. They are so nice. It feels like a family.” We found the registered manager was passionately committed to providing good quality person centred care. Staff we spoke with shared that commitment. There was a range of quality auditing and monitoring. The registered manager and provider had a system in place which enabled them to review any accidents, incidents, safeguarding’s or complaints.

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 good (published 19 April 2018).

Why we inspected

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.

The inspection was prompted in part due to concerns received about the assessment and management of risk, specifically falls and mobility and the management of accidents and incidents. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

We found no evidence during this inspection that people were at risk of harm from these concerns. Please see the safe and well-led sections of this full report.

The overall rating for the service has remained the same. This is based on the findings at this inspection.

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