CQC report explained · a residential care home, run by St. Michael's Homes
Dudbrook House
Dudbrook Road, Kelvedon Common, Brentwood, CM14 5TQ
Rated Good: inspectors found the service performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm. Inspectors found enough staff, safe medicines systems and suitable infection control, but some recruitment checks and risk assessments needed improvement.
- Effective?
- Good
- This question was not inspected during this visit. The previous rating was used when calculating the overall rating.
- Caring?
- Good
- This question was not inspected during this visit. The previous rating was used when calculating the overall rating.
- Responsive?
- Good
- This question was not inspected during this visit. The previous rating was used when calculating the overall rating.
- Well-led?
- Good
- Inspectors found effective audits, regular staff support and meetings, and good involvement of people, relatives and health professionals.
What inspectors found, December 2023
Dudbrook Hall rated Good; inspectors found safe, caring support and effective management, but asked for improvements to recruitment checks and risk assessments.
This was an unannounced, focused inspection on 22 November 2023. Three inspectors spoke with people living there, relatives, staff and health professionals. They also checked care, medicines, recruitment and management records.
The home was rated Good overall. Safe and well-led were both rated Good. Inspectors found enough trained staff, safe medicines procedures, good infection control and systems for reporting concerns and learning from incidents.
There were some areas to improve. A few recruitment records were incomplete, one previous-employer DBS check did not have a risk assessment at the time, and some risk assessments had not been updated after changes such as a fall. The provider acted on the recruitment issue during the inspection and was given recommendations.
Enough suitable staff
Inspectors found enough staff and said their numbers and skills matched people's needs. Staff had an induction and shadowing before working independently.
“There are a lot of staff here and they all know exactly what they are doing.” from the report
Medicines managed safely
People received medicines as prescribed. Staff were trained and assessed before supporting people, and medicines were securely stored and regularly audited.
“People were given their medicines safely and as prescribed, and it was recorded on their medicine administration record.” from the report
Good management oversight
Managers used audits, monthly reports, staff meetings and feedback to monitor the service and identify improvements.
“There was an effective quality audit system in place which included a monthly report to analyse themes or trends.” from the report
Open visiting
Relatives were able to visit without restrictions. The report says relatives found the home welcoming and easy to contact.
“There are absolutely no restrictions in place. We can visit whenever we want to.” from the report
Recruitment records
needs fixingSome staff files did not contain proof of address. One DBS check had come from a previous employer without a risk assessment in place at the time. The manager acted during the inspection, but the provider was asked to improve its recruitment checks.
“However, the DBS checks seen on 1 staff file had been issued by a previous employer and the registered manager had not put a risk assessment in place to ensure the member of staff was safe to work.” from the report
Risk assessments not always updated
needs fixingSome risk assessments had not been reviewed after people's needs changed. Inspectors gave the example of a person who had fallen and did not yet have an updated assessment.
“However, some of the risk assessments had not been updated. For example, a person who had recently had a fall did not have an updated risk assessment.” from the report
- 01How do you make sure a person's risk assessment is updated promptly after a fall or other change in their needs?
- 02What checks are now completed and recorded before every new member of staff starts work?
- 03How do you manage DBS checks carried out by a previous employer, and when is a risk assessment required?
- 04How often are medicines records and audits checked, and what happens if an error is found?
- 05How will you keep relatives informed when a person's health or care needs change?
This was a focused inspection of Safe and Well-led only; the other ratings carried over from the previous inspection published on 12 January 2018. This explanation was written from the published report of 14 December 2023 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.
Every inspection of Dudbrook House
4 rated inspections over 9 years: the service has held its Good rating throughout.
- December 2023Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2018Goodup from Requires improvementSafe: GoodWell-led: Good
- November 2016Requires improvementdown from GoodSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good
- April 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2013
Report published without a new overall rating.
- October 2012
Report published without a new overall rating.
- June 2011
Report published without a new overall rating.
- March 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 20 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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Other services run by St. Michael's Homes Limited
1 other service on the CQC register. A pattern across a group tells you more than one report.