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CQC report explained · a residential care home, run by White Doves Residential Home
Southover Care Home
397 Burton Road, Derby, DE23 6AN
Goodpublished 5 December 2023, 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. Inspectors found suitable staffing, safe recruitment, safe medicines systems, infection prevention measures and reviews of incidents and accidents.
- Effective?
- Good
- This key question was not rated in this report.
- Caring?
- Good
- This key question was not rated in this report. People and relatives did tell inspectors that staff were kind and knew people well.
- Responsive?
- Good
- This key question was not rated in this report. Inspectors said people's support needs were reviewed and kept up to date.
- Well-led?
- Good
- Inspectors found a positive and open culture, clear management oversight and quality checks that helped reduce the risk of avoidable harm.
The latest report, explained
What inspectors found, December 2023
Southover Care Home was rated Good; inspectors found safe, kind care and effective management.
The unannounced inspection took place on 9 November 2023. One inspector spoke with six people, two relatives and six staff. They observed care and checked care records, risk assessments, medicines records, recruitment files and management records.
The home was rated Good overall, with Good ratings for Safe and Well-led. Inspectors found that people were protected from abuse and avoidable harm, received medicines safely, and were supported by staff who knew them well.
Inspectors found an open management culture and systems that monitored quality and risks. The home had previously been rated Good in 2018, and the Safe and Well-led ratings remained Good.
What inspectors praised
Kind, knowledgeable staff
People and relatives said staff were kind and knew people's preferences and needs well.
“People and their relatives told us they were supported by kind staff who knew them well.” from the report
Safe medicines
Medicines records included important safety information and instructions for medicines given when needed. Staff were trained and their competence was checked.
“People were supported to receive their medicines safely.” from the report
Good safety oversight
Risks, accidents and incidents were monitored. The management team investigated events and acted to reduce the chance of them happening again.
“Incidents and accidents were investigated and reviewed by the registered manager and senior management team.” from the report
Open management
Inspectors found a positive culture, available managers and effective checks on quality and risk.
“The provider had a clear management structure that monitored the quality of care to drive improvements in service delivery.” 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 assess and review my relative's care needs after they move in?
- 02How do you make sure medicines given 'as needed' are given at the right time and recorded correctly?
- 03How many staff will usually be on duty for the number of people living here?
- 04How are relatives involved in care decisions and kept informed about changes in health or wellbeing?
- 05What did the latest care-plan audits identify, and what improvements were made as a result?
This was an unannounced inspection focused on Safe and Well-led; the report did not give ratings for Effective, Caring or Responsive. This explanation was written from the published report of 5 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.
The story over the years
Every inspection of Southover Care Home
4 rated inspections over 8 years: the service has held its Good rating throughout.
- December 2023Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2020Inspected but not ratedSafe: Inspected but not rated
- September 2018Goodup from Requires improvementSafe: GoodWell-led: Good
- September 2017Requires improvementdown from GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2014
Report published without a new overall rating.
- November 2013
Report published without a new overall rating.
- August 2013
Report published without a new overall rating.
- March 2013
Report published without a new overall rating.
- December 2012
Report published without a new overall rating.
- May 2012
Report published without a new overall rating.
- December 2011
Report published without a new overall rating.
- August 2011
Registered with the Care Quality Commission on 11 August 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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