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Dundoran Nursing and Residential Home, Noctorum, Birkenhead.

Dundoran Nursing and Residential Home in Noctorum, Birkenhead is a Nursing home specialising in the provision of services relating to accommodation for persons who require nursing or personal care, caring for adults over 65 yrs, dementia and treatment of disease, disorder or injury. The last inspection date here was 15th May 2019

Dundoran Nursing and Residential Home is managed by Newbloom (Dundoran) Limited.

Contact Details:

    Address:
      Dundoran Nursing and Residential Home
      Vyner Road South
      Noctorum
      Birkenhead
      CH43 7PW
      United Kingdom
    Telephone:
      01516525481
    Website:

Ratings:

For a guide to the ratings, click here.

Safe: Requires Improvement
Effective: Good
Caring: Good
Responsive: Good
Well-Led: Requires Improvement
Overall:

Further Details:

Important Dates:

    Last Inspection 2019-05-15
    Last Published 2019-05-15

Local Authority:

    Wirral

Link to this page:

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Inspection Reports:

Click the title bar on any of the report introductions below to read the full entry. If there is a PDF icon, click it to download the full report.

5th March 2019 - During a routine inspection pdf icon

About the service: Dundoran Nursing and Residential Home provides personal or nursing care to up to 39 people living with dementia. At the time of the inspection, there were 28 people living in the home.

People’s experience of using this service: People were supported to move and transfer in ways that could put them at risk of harm. The registered manager took appropriate action when this concern was raised with them.

Medicines were not always managed and recorded as required. We made a recommendation regarding this in the main body of the report.

The systems in place to monitor the quality and safety of the service were not always effective as they had not highlighted the concerns we identified during the inspection. When areas for improvement were identified through the checks, actions taken were not always clearly recorded. We made a recommendation regarding this in the main body of the report.

People told us they felt safe living in the home. Risks to people had been assessed and care plans guided staff on how to minimise identified risks. Staff were aware of safeguarding procedures and how to raise concerns.

Safe recruitment practices had been adhered to. Staff felt well supported and received ongoing support through regular training and supervision.

There were usually enough staff on duty to meet people’s needs. Feedback regarding staffing levels was mixed, but most was positive and rotas showed that staffing numbers were consistently maintained with the support of agency staff.

People had enough to eat and drink and feedback regarding the meals available was positive. When people were at risk of malnutritional steps had been taken to address the risks, such as referrals to the dietician.

Adaptations had been made to the building to ensure it was suitable for people living with dementia.

People’s consent had been sought and recorded in line with the principles of the Mental Capacity Act 2005 and people had their rights respected.

People and their relatives staff told us staff were kind and caring and treated people with compassion. Staff knew people well, including their needs and preferences and these were recorded within their plans of care. People were supported to be as independent as they could be.

The registered manager took responsive action based on the feedback from the inspection.

Rating at last inspection: Good (Last report published September 2016).

Why we inspected: This was a planned comprehensive inspection based on the previous rating.

Enforcement: Please see the ‘action we have told the provider to take’ section towards the end of the report.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk.

9th August 2016 - During a routine inspection pdf icon

The inspection took place on 10 August 2016 and was unannounced. Dundoran Nursing and Residential Home is located in Bidston, a residential area of Birkenhead. The home is registered to accommodate up to 39 people. The manager told us that the home had 31 bedrooms, of which three were big enough to be used as shared rooms, however none of the bedrooms had been shared for a considerable length of time. The home had a car park at the front and a secure garden at the back.

The home had a manager who was registered with the Care Quality Commission. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run.

The people accommodated at Dundoran were living with dementia-related conditions. We observed that they were treated with dignity and respect and supported to make everyday choices. People had a choice of meals and received the support they needed to eat and drink. Staff we spoke with had a good understanding and knowledge of people`s individual care needs and there was good communication between staff and people’s families. Family members visited during the day with no restrictions.

The home was clean, tidy, comfortable and safe. Adaptations had been made to support people with mobility difficulties and to help people to find their way around.

During the day of our visit there were enough staff on duty and people did not have to wait for staff to attend to them. The rotas we looked at confirmed that these staffing levels were maintained by some use of agency staff.

Care records we looked at showed that people’s care and support needs were assessed and planned for and the plans were reviewed regularly. Deprivation of Liberty Safeguards (DoLS) had been applied for appropriately and some of these were awaiting authorisation by the local authority.

The home employed a social activities organiser and a wide range of age-appropriate activities was provided.

We saw evidence of regular staff meetings and meetings for people who lived at the home. A series of quality monitoring audits was carried out.

23rd August 2013 - During a routine inspection pdf icon

We spoke with two people who lived at the home and two relatives. People told us they were treated with dignity and respect and they were well looked after. They said “Staff are good to me” and the home is “Very good [I’m satisfied here]”. Relatives we spoke with were very happy with the care provided and felt involved in people’s care.

We saw that people's needs were assessed and regularly reviewed. Care records were personalised, contained information about a person's individual needs and preferences and promoted the person's independence where possible.

Where people had limited mental capacity, care plans detailed how to communicate with people so they were able to be involved in decisions about their day to day care. Staff we spoke with were knowledgeable about a person’s needs and understood the person’s right to refuse consent.

People were offered a balanced diet and a choice of menu options. People’s dietary requirements were assessed and adequate nutrition and hydration provided.

We reviewed three staff records and saw the provider had undertaken appropriate checks in the employment of staff to ensure they were suitable to work with vulnerable people.

The provider undertook a range of quality audits to check and monitor the quality of the service provided. We examined the provider's recent satisfaction survey. Feedback received about the service was positive. Where suggestions for improvement had been made the provider had acted upon them.

9th November 2012 - During a routine inspection pdf icon

Most of the people living at the home when we visited had dementia and had limited ability to communicate verbally, however people we spoke with told us “I’m happy here”, “the staff are very good”, “I would complain if I wasn’t happy” and “if I didn’t like it here I’d go somewhere else”.People looked well groomed and were appropriately clothed. They had a choice of comfortable places to sit. Most of the staff had worked at the home for several years and showed a good awareness of people’s individual needs and personal preferences. There were enough qualified, skilled and experienced staff to meet people’s needs.

There was a care plan for each person and the documentation was tidy and easy to follow. The care plans contained assessments of people’s needs, plans for their care, detailed daily records, monthly records of weight, pulse and blood pressure, and a record of any visits from medical professionals. The care plans had been reviewed monthly to take account of people's changing care needs.

Redecoration and upgrading of the buidling were ongoing at the time of our visit. Most areas had been refurbished providing all single bedrooms, most with en suite facilities.

1st February 2012 - During a routine inspection pdf icon

The people using the service said the staff are very kind and they are happy with the way they are looked after. They said they would speak to the manager if they were unhappy and wanted to make a complaint. Some comments made were:

“The staff are gentle and discreet when they do my personal care, I can't find fault with them.”

“I'm happy with the care I get.”

“The staff are very good.”

“The staff are lovely, nothing is ever any trouble.”

“I have no complaints, I'm quite happy with everything.”

“The manager is very good, she runs a tight ship.”

Relatives of the people using the service said the staff are always kind and respectful and they are very happy with the standard of care provided. They said staff have a good knowledge of their relative’s care needs and always keep them informed about their welfare. They said they know who to speak with if they want to make a complaint. Some comments made were:

"I have only ever seen the staff treat the residents with respect."

"The girls are excellent, they are very patient and very kind."

"The staff are very good, nothing is ever any trouble."

"I am always kept informed about my mum's welfare. They call the doctor straight away if she is unwell."

"I have never seen or heard any staff speak badly to the people living at the home."

"The staff are marvelous, they are all very good."

"The home is very well run by the manager, she is excellent."

"I made a complaint last year, this was dealt with quickly and additional training was organised for staff immediately."

Two relatives raised some concerns about the standard of the environment.

Health care professionals said they were happy with the way their patients are looked after and they had no concerns to raise. Some comments made were:

“The person I see is very happy with the way he is looked after and I have no concerns at all.”

“The staff are very good. They carry out my instructions well and keep me informed about my patients’ welfare.”

"I have never seen any signs of abuse or neglect."

"June Poole is a very good manager. The home seems well managed."

"The manager is very good. She is always very focused on people’s care needs."

 

 

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