The Pastures
Hales, NR14
Nursing
Rated 2 years agoReport explained
CQC report explained · a residential care home, run by Elizabeth Fitzroy Support
Dalvington/The Oaks
Dalvington, 146 Lower Howsell Road, Malvern, WR14 1DL
Goodpublished 25 January 2024, 2 years ago
Rated Good: inspectors found the service performing well and meeting their expectations.
The five questions inspectors ask
- Safe?
- Good
- People were protected from abuse and avoidable harm. Risk assessments, staffing, recruitment, medicines and infection control were found to be managed safely.
- Effective?
- Good
- This inspection report does not give a rating or detailed findings for Effective.
- Caring?
- Good
- This inspection report does not give a rating or detailed findings for Caring.
- Responsive?
- Good
- This inspection report does not give a rating or detailed findings for Responsive.
- Well-led?
- Good
- The home had an open culture, effective governance systems and a clear focus on improvement. People, relatives and staff were involved in the running of the service.
The latest report, explained
What inspectors found, January 2024
Dalvington/The Oaks was rated Good; inspectors found safe, person-centred care and improved management systems.
This was an unannounced inspection on 6 and 11 December 2023. One inspector observed care, spoke with people, relatives and staff, and checked care, medicine, recruitment and management records.
The home was rated Good for Safe and Well-led. Inspectors found that people were protected from abuse, risks were assessed, staffing was sufficient and medicines were managed safely. People were supported to make choices and receive visitors without restrictions.
The inspection was partly prompted by concerns about restrictive practices. Inspectors found no evidence that people were at risk of harm from this concern. The previous rating was Requires Improvement in October 2020, but improvements had been made and the home was no longer in breach of regulations.
What inspectors praised
Safety and safeguarding
Staff understood their safeguarding responsibilities and reported concerns to the relevant agencies. Risk assessments had been improved and reflected specialist guidance.
“Staff were clear about their responsibility to safeguard people from abuse, and we saw examples where concerns had been reported to the relevant agencies” from the report
Safe medicines
Medicines were stored and given as prescribed. Records were checked weekly, and inspectors found no errors.
“There was a system to check medicines and medicine records on a weekly basis and no errors were found during the inspection.” from the report
Choice and positive relationships
People were supported to make choices and were cared for in a warm and person-centred way. Staff spent time talking with people and supporting activities.
“There was a positive and open culture at the service. The provider had systems to provide person-centred care that achieved good outcomes for people.” from the report
Improved leadership
Management and quality monitoring had improved since the previous inspection. The new management arrangements were supported by regular communication and governance meetings.
“The service had effective governance and management systems.” from the report
What inspectors were concerned about
Inspectors raised no specific concerns in this report.
Questions to ask them, based on this report
- 01How will you make sure my relative's risk assessments stay up to date when their health or support needs change?
- 02What checks are made on medicines, including emergency medicines given when needed?
- 03How are incidents and safeguarding concerns reviewed, and how do you make sure lessons are acted on?
- 04How will the recent change in management affect my relative's day-to-day care and who should the family contact?
- 05How do you support each person to have choice, independence, activities and access to visitors?
This was an unannounced inspection focused on Safe and Well-led, prompted partly by concerns about restrictive practices; the report does not provide current ratings for the other three questions. This explanation was written from the published report of 25 January 2024 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
The story over the years
Every inspection of Dalvington/The Oaks
5 rated inspections over 9 years: the service has held its Good rating throughout.
- January 2024Goodcurrent ratingup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2020Requires improvementstayed Requires improvementSafe: Requires improvementWell-led: Requires improvement
- August 2019Requires improvementdown from GoodSafe: Requires improvementWell-led: Requires improvement
- March 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2014
Report published without a new overall rating.
- June 2013
Report published without a new overall rating.
- October 2012
Report published without a new overall rating.
- August 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 10 January 2011.
Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.
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