Daneside Mews

Updated 23 September 2023

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

One inspector carried out this inspection.

Service and service type

Daneside Mews is a ‘care home’. People in care homes receive accommodation and personal care as a single package under one contractual agreement dependent on their registration with us. Daneside Mews is a care home offering personal 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 not a registered manager in post. A new manager was in post and had submitted an application to register. We are currently assessing this application.’

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. 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 spoke with 4 people who used the service about their experience of the care provided as well as 3 relatives. We spoke with 7 members of staff including the area director, manager, administrator, senior care staff and care workers. We spoke to 2 visiting health professionals. We reviewed a range of records. This included 6 people’s care records, risk assessments and medication records. We looked at 4 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.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

After the inspection

We looked at various documents and continued to seek clarification from the provider to validate evidence.

Updated 23 September 2023

About the service

Daneside Mews is a residential care home providing personal care to up to 34 people. The service provides support to older people. At the time of our inspection there were 33 people using the service in a purpose-built building.

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

We have included a recommendation in respect of a review of relatives’ preferred involvement in their relations’ care.

People received safe care. Improvements had been made in systems for the reporting of allegations of abuse. Medication systems were safely managed. The review of risks faced by people from their health conditions and the environment had been reviewed and were up to date. Equipment used by people was serviced regularly and safe to use.

Relatives told us that their relation was safe. People appeared relaxed and comfortable with the staff team. They told us that they were happy with the way staff supported them. This was reflected in our observations. This was echoed by relatives. Staff knew people’s individual preferences and respected these.

Staff levels met the needs of people and staff worked to ensure Where people needed 1 to 1 support; this was provided appropriately. The building was clean and hygienic, and this was confirmed through what relatives told us as well as our observations.

Robust auditing was now in place with a variety of audits being carried out to monitor the quality of care provided at Daneside Mews. Relatives told us that they knew who the manager was and saw them as approachable and providing a well led service. Most relatives commented that the management team were very open and transparent and involved them in updates about their loved one’s care.

All people, families and staff were asked to comment on the care provided. The service continued to work effectively with other agencies such as district nurses to promote the wellbeing of people.

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.

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 requires improvement (published 2 April 2021). At this inspection we found improvements had been made and the rating had improved to good.

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.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from Requires Improvement 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 Daneside Mews on our website at www.cqc.org.uk.

Enforcement and Recommendations

No breaches of regulation were identified at this inspection. We have made a recommendation in respect of the service reviewing the communication preferences between the service and relatives on their relations’ progress.

Follow up

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