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CQC report explained · a nursing home, run by Alexandra Care (Leicester)

Dane View Care Home With Nursing

165 Glenfield Road, Leicester, LE3 6DP

Requires improvementpublished 16 March 2024, 2 years ago

Rated Requires improvement: inspectors found the service was not performing as well as it should and told it what to change.

The five questions inspectors ask
Safe?
Requires improvement
Risk assessments and care plans did not always give clear guidance about mobility and falls. Medicines records had unexplained gaps, medicine effects were not always recorded, and some medicine patches and needle disposal were not handled safely.
Effective?
Requires improvement
Staff training, consent arrangements and access to healthcare had improved. However, food and fluid records and some assessment documents were incomplete, so people's needs were not always fully recorded.
Caring?
Good
People were treated with kindness, dignity and respect. Staff listened to people, involved them in care decisions and responded promptly to protect privacy.
Responsive?
Good
This key question was not inspected during this focused inspection. Its rating was carried over from the previous inspection.
Well-led?
Requires improvement
Management oversight had improved, but audits did not always identify problems and clinical checks were not always recorded. Senior staff were not always clear about their responsibilities for quality oversight.
The latest report, explained

What inspectors found, March 2024

Rated Requires Improvement; care was kind and safety had improved, but medicines, risk records and quality checks were still not reliable.

Inspectors visited on 9 and 10 January 2024. They spoke with people, relatives and staff, and reviewed care files, medicines records, recruitment files, training records and management documents.

The home had improved since its previous inadequate rating. People told inspectors they felt safe and were happy with their care. Staff were caring, there were enough staff, training had improved and consent arrangements were now better.

Important problems remained. Records about falls, mobility, food, fluids, repositioning and medicines were incomplete or not always checked properly. The home remained in breach of the rules on safe care and treatment and good governance.

The home is no longer rated Inadequate and is no longer in special measures. However, it is still rated Requires Improvement overall, so CQC expects further action and will monitor progress.

What inspectors praised
  • Improved skin care

    Skin and wound care had improved significantly since the previous inspection. No pressure-related injuries were found at the time of this inspection.

    Wound and skin care management had significantly improved since our last inspection.from the report
  • Enough staff

    Inspectors found enough staff and said they were deployed effectively. Recruitment checks, including nursing registration and DBS checks, were in place.

    People were now supported by enough staff who were deployed effectively.from the report
  • Kind and respectful care

    People and relatives spoke positively about staff. Inspectors observed patient, friendly interactions and found that people were involved in decisions about their care.

    People were respected by staff. We observed staff interacting with people in a friendly and caring way.from the report
  • Improved training and consent

    Staff received the training needed for their roles. DoLS authorisations were in place where required and staff had improved their understanding of consent.

    At this inspection, enough improvement had been made and the provider was no longer in breach of regulation 18.from the report
What inspectors were concerned about
  • Falls and care records

    serious

    Guidance about mobility and falls risks was still lacking. Care plans and risk assessments were not always consistent or robust, and some food, fluid and assessment records were incomplete.

    There was a continued lack of guidance in place for staff regarding people's mobility needs and falls risk.from the report
  • Incomplete meal records

    needs fixing

    Some food and fluid records did not contain enough detail about what people had eaten or drunk. The provider said staff were still getting used to the new digital recording system.

    People's food and fluid records were not always thoroughly completed.from the report
Questions to ask them, based on this report
  1. 01What specific changes have been made to ensure medicine administration records have no unexplained gaps?
  2. 02How are staff now given clear guidance about each person's mobility needs and falls risk?
  3. 03How will the new digital care-record system be checked to make sure food, fluid, repositioning and assessment records are complete?
  4. 04Who is responsible for each quality audit, and how will the home check that audits identify medicine and care-record errors?
  5. 05What progress has been made on the action plan sent to CQC, and when will each remaining safety problem be reviewed?

This was a focused inspection of Safe, Effective, Caring and Well-led, linked to previous warning notices; Responsive was not inspected and its previous rating was used in the overall rating. This explanation was written from the published report of 16 March 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 Dane View Care Home With Nursing

4 rated inspections over 5 years: the service has held its Requires improvement rating throughout.

  1. March 2024Requires improvementcurrent ratingup from Inadequate
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read what inspectors found at Dane View Care Home With Nursing

  2. August 2023Inadequate
    Safe: InadequateEffective: InadequateWell-led: Inadequate

    We are reading this report · the original is on cqc.org.uk

  3. March 2022Inspected but not rated
    Safe: Inspected but not rated

    Read this report on cqc.org.uk

  4. May 2021Requires improvementstayed Requires improvement
    Safe: Requires improvementWell-led: Good

    Read this report on cqc.org.uk

  5. August 2019Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  6. November 2018

    Registered with the Care Quality Commission on 14 November 2018.

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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