Dovehaven Lodge

Updated 13 May 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 2 inspectors and 2 Experts 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

Dovehaven Lodge is a 'care home' with nursing care. 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. 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. There was a manager who had applied to register with CQC.

Notice of inspection

The 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 5 people who lived in the home and the relatives of 9 people living in the home. We spoke with the manager, 3 unit managers and 15 care staff. We looked at the care records of 7 people, medicine records for 24 people and a range of records related to the management of the home.

Updated 13 May 2023

About the service

Dovehaven Lodge is a residential home providing personal and nursing care for up to112 people. In 4 separate single story units with enclosed gardens. One unit provided specialist support for male residents only. At the time of inspection there were 99 people living in the home.

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

People had not always been supported by enough suitably trained staff. Staff deployed to support people who may present a risk to themselves or others had not received suitable training. However, the training had been planned and the provider was negotiating with commissioners to ensure information about people's needs was accurate prior to admission. We have made a recommendation about this in the safe domain of this report.

People were supported by staff who understood and followed the providers' safeguarding policies and procedures. Relatives praised the quality of the staff and were confident their relations were safe.

People were supported to manage risks in their daily lives because the provider had an effective system in place to analyse incidents and minimise the risk of reoccurrence.

People's relatives and staff had mixed views about how well the service was managed. On the male only unit, relatives and staff felt very confident the management of the service was good. On other units some relatives and staff felt management could be improved.

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 4 November 2022). At this inspection this has remained the same.

Why we inspected

We received concerns in relation to staffing and the quality of care. As a result, we undertook a focused inspection to review the key questions of Safe and Well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

Recommendations

We have made a recommendation in relation to staffing.

We found evidence the provider needed to improve. Please see the safe domain of this report.

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.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Dovehaven Lodge 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.