Background to this inspection
Updated
19 October 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
The inspection was carried out by 1 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.
Service and service type
Jack Dormand Care Home 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. Jack Dormand is a care home with 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.
Inspection activity started on 22 May 2023 and ended on 19 July 2023. We visited the service on 22 May and 17 July 2023.
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 12 people who used the service and 6 relatives when we visited the service. We spoke with 13 members of staff including the registered manager, the area director, 1 nurse, 1 nursing assistant, 2 senior care assistants, 3 care assistants, the administrative assistant, 1 kitchen staff member, 1 domestic staff member and the maintenance officer.
We reviewed a range of records. This included five people's care records and multiple medicine records. We looked at 3 staff recruitment files. A variety of records relating to the management of the service were reviewed.
Updated
19 October 2023
About the service
Jack Dormand Care Home is a residential care home providing personal and nursing care for up to 43 people. The service provides support to older people and younger adults, including those living with dementia. At the time of our inspection there were 41 people using the service.
People’s experience of using this service and what we found
Staff excelled at providing care and support which was extremely person-centred and responsive to people’s needs. Staff were passionate about their roles and dedicated to improving people’s quality of life.
Feedback from people and relatives was excellent. Comments included, “It is without a doubt an outstanding care home with outstanding staff,” “The whole team deserve recognition and thanks. Each and every one of you pull together to make a fabulous team,” and “What a fabulous care home. I have never met a more friendly and helpful set of staff.”
People benefitted from an excellent variety of activities, events and trips out that were organised to help reduce social isolation and enhance their health and wellbeing. Activities were tailored towards people's likes and preferences, which gave significant meaning and purpose. The wellbeing team were continually searching for new opportunities and experiences to support people to be active members of their local community. There were extremely strong links with the local community, which people valued.
Staff truly enriched people's lives by helping people to fulfil wishes and aspirations no matter how big or small. There was a warm and homely environment and people's friends and relatives were welcomed warmly at birthday celebrations and various organised events. This helped people maintain relationships important to them and enabled relatives to get to know staff better. One relative said, “I absolutely love visiting as I am always welcomed with a friendly smile and greeting by all the staff. It feels like a home from home to me and I feel like I am part of ‘the family.’”
People received extremely compassionate and dignified care at the end of their lives. Staff had an excellent understanding of how to meet the needs of people and their families. This was particularly in relation to emotional support and the practical assistance, which they needed at such a difficult time. The staff team were recognised for their excellence in end of life care when they received palliative carer of the year award at The Northern Echo Health and Care Awards 2022.
The home was exceptionally well-led with a strong focus on providing person-centred care. The values and behaviours of the management team set out clear expectations of what was required from staff. People and relatives were extremely positive about the management team. Staff were very proud of what they as a team had achieved in terms of national awards and recognition. The service had previously been shortlisted as a finalist in the dignity and respect category, and the registered manager had been shortlisted as a finalist for the care home manager category at the National Care Awards. Staff described an inclusive, open and supportive working environment.
Staff understood how to safeguard people and when to raise concerns. People received their medicines safely. Risks associated with people's care were regularly assessed and monitored. Staff followed infection prevention and control guidance to minimise risks related to the spread of infection. Recruitment practices were safe.
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
The last rating for this service was outstanding (published 20 March 2018).
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.
We undertook a focused inspection to review the key questions of safe, responsive and well-led only.
For those key questions not inspected, we used the ratings awarded at the last ratings inspection to calculate the overall rating. The overall rating for the service remains outstanding. 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 Jack Dormand care home 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.