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CQC report explained · a residential care home

Dove House Residential Home

Dovehouse Green, Ashbourne, DE6 1FF

Goodpublished 11 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. Risks were assessed and managed, but some medicines records needed more detail and one recruitment file was incomplete when checked.
Effective?
Good
This question was not rated in this focused inspection. Inspectors noted that staff had training and the service worked in line with the Mental Capacity Act.
Caring?
Good
This question was not rated in this focused inspection. Inspectors reported that the service was focused on people and provided person-centred care.
Responsive?
Good
This question was not rated in this focused inspection. Inspectors reported that people's views were listened to and used to improve the service.
Well-led?
Good
The home had a clear management structure, quality checks and an open culture. One area of health and safety checks needed more oversight, and the manager took action after this was discussed.
The latest report, explained

What inspectors found, January 2024

Rated Good; inspectors found safe, person-centred care, with some records and checks needing improvement.

The home provides personal care for up to 20 older people. There were 17 people living there when inspectors visited. The inspection was unannounced and took place on 7 December 2023.

Inspectors spoke with people living in the home, a relative, a visitor and staff. They reviewed care plans, medicines records, recruitment files, training records, policies, audits and safety checks.

The home was rated Good for Safe and Well-led. People were protected from abuse, risks were managed, medicines were generally handled safely, and the home was clean. Staff were described as caring and person-centred, and people's views were used to improve the service.

Some improvements were needed. One recruitment file did not contain all the required checks, some medicines records needed more detail, and one area of health and safety checks needed closer oversight. The manager said action had been taken or would be taken.

What inspectors praised
  • Safe care

    People were protected from abuse and avoidable harm. Staff understood how to raise safeguarding concerns.

    People were safeguarded from abuse and avoidable harm.from the report
  • Staff availability

    Inspectors saw staff respond when people needed help, including responding quickly to call bells.

    We observed staff provided support to people when this was needed and responded quickly to call bells when these were used.from the report
  • Medicines support

    Medicines were generally given safely and as prescribed. Staff who administered them had training and competency checks.

    People were supported to receive their medicines safely.from the report
  • People's involvement

    People and staff were involved in the running of the home and in decisions about care.

    People and staff were involved in the running of the service and the care they received.from the report
What inspectors were concerned about
  • Medicine records

    needs fixing

    Some medicine protocols and administration records did not contain enough detail to show that medicines were offered consistently and their effects monitored.

    Some medicine protocols and administration records required more detail to help show people's medicines were offered consistently and their effectiveness monitored.from the report
  • Recruitment checks

    needs fixing

    One of the three recruitment files checked did not show all the required checks. The manager later provided information showing the file had been updated.

    1 staff recruitment file did not show all the required recruitment checks had been completed.from the report
  • Health and safety oversight

    needs fixing

    One area of health and safety checks needed closer oversight. The manager said this would be checked going forward.

    We found 1 area of health and safety checks required more oversight.from the report
Questions to ask them, based on this report
  1. 01What changes have you made to medicine protocols and administration records since the inspection?
  2. 02How do you now check that medicines are offered consistently and that their effectiveness is monitored?
  3. 03How do you make sure every new member of staff has all required recruitment checks before working at the home?
  4. 04Which area of health and safety checks needed more oversight, and how is it now monitored?
  5. 05What ratings or recent evidence can you provide for Effective, Caring and Responsive, which were not rated in this focused inspection?

This was an unannounced focused inspection of Safe and Well-led; the report does not give new ratings for Effective, Caring or Responsive. This explanation was written from the published report of 11 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 Dove House Residential Home

3 rated inspections over 8 years: the service has held its Good rating throughout.

  1. January 2024Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Dove House Residential Home

  2. March 2018Goodstayed Good
    Safe: GoodWell-led: Good

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

  3. November 2015Good
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. June 2013

    Registered with the Care Quality Commission on 10 June 2013.

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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