Douglas Bank Nursing Home

For this key question we assessed 6 quality statements relating to; safe systems, pathways and transitions, safeguarding, infection prevention and control, safeguarding and medicines optimisation. We found the provider was in breach of the regulation; safe care and treatment. People were not always safe because they did not receive safe care in relation to the storage and recording of medicines. Care plans were not always correct on people’s underlying health conditions and one person’s care plan had conflicting information on what level of thickening powder they should receive.

People were protected from the risk of infection by staff, the home was clean and maintained hygienically. The provider had a food hygiene rating of 5. This meant the hygiene standards were very good.

The manager assessed risks to ensure people were safe. The manager and staff promoted positive risk taking to help people gain skills and live an independent life as possible. Systems were in place to carry out structured assessments for people to live at Douglas Bank. There were effective safeguarding processes in place.

There was no registered manager at the time of the assessment. The regional manager had submitted an application to become the registered manager until the manager's application to become the registered manager had been submitted and processed.

For this key question, we assessed 2 quality statements relating to capable, compassionate and inclusive leaders and governance, management and sustainability. We found the provider to be in breach of regulation in relation to Governance. Quality assurance processes in place were not always effective as shortfalls found were either not identified or not progressed in a timely way.

There was a clear management structure with easily identifiable lead roles. People and relatives spoke positively about the way the service was managed and the manager's leadership style. The approachability of the provider had been praised. Staff told us they felt valued and respected at work and were confident they were supported by a caring leader. Feedback from relatives included, "We have great communication with the management, they keep us well informed. [Manager] has regular meetings,”