You are here

Inspection Summary

Overall summary & rating


Updated 3 February 2017

The inspection took place on 1 December 2016 and was unannounced.

The home is located in Spalding in Lincolnshire and provides residential care for up to 28 older people and people living with a dementia. The accommodation is all one level and there are several communal areas where people can choose to spend their time.

There was a registered manager for the home. 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 2008 and associated Regulations about how the service is run.

The Care Quality Commission is required by law to monitor how a provider applies the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS) and to report on what we find. DoLS are in place to protect people where they do not have capacity to make decisions and where it is considered necessary to restrict their freedom in some way. This is usually to protect themselves. The registered manager had fully understood their responsibilities under the MCA and DOLS and had taken appropriate action to protect people’s rights. In addition the environment and care provided allowed people to maximise their decision making abilities.

People received high quality care from a staff team which were supported to develop their skills through ongoing training, supervisions and observations by the registered manager. Flexible staffing levels set to meet people’s needs ensured that staff had the time to deliver person centred care and monitor changes in people’s needs. Any changes in needs were discussed with the appropriate healthcare professionals and corresponding changes in care were reflected in people’s care plans. This personalised care supported people to stay healthy and maximise their independence and ability to make decisions.

People were supported to lead fulfilling lives and to continue with hobbies they enjoyed before moving into the home. Activities were provided in the home on a communal and an individual basis and people were also supported to access the local community.

The registered manager and staff provided high quality compassionate care to people at the end of their lives. Extra staff ensured that people received one to one support through their final days. Good collaborative working with external healthcare organisations ensured that people were able to be kept comfortable and pain free at the end of their lives.

Risks to people were fully identified. Care was planned to minimise the risk to people and equipment was available when needed. Good adherence to the care plans and the correct use of equipment had led to a decrease in the amount of pressure ulcers developed in the home.

Caring staff ensured that people took their medicine as prescribed and raised concerns around medicines with appropriate healthcare professionals. People’s food was presented to them personalised to their individual preferences. People received gentle support and encouragement at mealtimes to maximise their nutritional intake. This supported people to maintain their independence and decreased the risks associate with poor mobility and fragile skin.

The registered manager had effective audits in place to monitor the quality of care that people received and they were able to address identified issues in an appropriate and timely way. They continually updated themselves on guidelines developed by the government and NHS to ensure that the care provided supported people to lead healthy fulfilled lives.

Inspection areas



Updated 3 February 2017

The service was safe.

People felt safe living at the home. Staff had received training in keeping people safe from abuse and were confident to raise concerns with the registered manager.

Risks to people had been identified and staff's consistent adherence to care plans and kept people safe from avoidable harm.

The home was staffed to meet people’s needs and was flexible to provide support for people at the end of their lives.

There were systems in place to ensure medicines were ordered, stored and administered safely.

Appropriate infection control processes were followed in the home.



Updated 3 February 2017

The service was effective.

People received a high standard of care from staff who received good quality training and ongoing daily support from the registered manager.

The registered manager and staff provided a calm supportive environment which supported people to maximise their decision making abilities.

People were complementary about the food provided and well trained staff ensured that people were gently encouraged to eat and drink.

People had been supported to access advice and support from healthcare professionals whenever needed.



Updated 3 February 2017

The service was caring.

People living at the home were happy and felt that they were looked for by well trained staff who treated them with great care and respect.

Staff took the time to get to know about people lives and understood when people may need extra support.

People were supported to make daily decisions about their lives and were offered as much choice as possible.

People at the end of their lives received 24 hour individual support from staff and were assured a comfortable pain free death as the registered manager worked with healthcare professionals to ensure all anticipated needs were able to be met.



Updated 3 February 2017

The service was responsive.

People were confident that their care needs could be met by the staff.

Staff were responsive to people’s changing needs and took action to improve people’s quality of life.

People were encouraged to continue with hobbies they undertook before living at the home and to join in with communal activities.

People were able to access and enjoy the local community.

People were happy to raise any concerns with the registered manager and were confident that issues would be addressed.



Updated 3 February 2017

The service was well led.

The registered manager had created a culture where staff worked together to provide the best care possible to people.

Staff had confidence in the registered manager’s capabilities and were happy to raise concerns.

People’s views of the service were gathered and relatives told us that the registered manager was always available to received feedback on the quality of care provided.

There were effective audits in place to monitor the quality of care people received.

The registered manager continually updated their knowledge about how good person centred care should be provided.