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The Spinney Nursing Home Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 5 June 2021

About the service

The Spinney Nursing Home (The Spinney) is a care home registered to provide accommodation for people who require assistance with personal or nursing care needs. It is registered for up to 35 people. At the time of the inspection 19 people were living in the service.

People's experience of using this service and what we found.

People told us they felt safe and staff were “kind” and “friendly." Our observations showed that people were treated with dignity and had their privacy preserved. Staff knew the people in the home well and supported them to be as independent as they could be.

People who lived at The Spinney and a relative who spoke with us told us they felt people living there were safe. Records showed that people received their medicines as prescribed and were detailed and person centred. Storage and disposal of medicines was appropriate and followed guidance. We have made a recommendation about recording and storage of powder to thicken drinks.

The provider had a staff training programme, competence assessments and supervision systems. Appropriate recruitment checks were followed to make sure staff recruited were safe to work with vulnerable people. Staffing levels were reviewed to make sure an adequate number of appropriately trained staff were available to meet people’s changing needs. We have made a recommendation about the accuracy of rota records.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. We have made a recommendation on individualising all capacity assessments.

The provider had worked hard to develop a governance system and management framework with clear lines of accountability in place. There were systems in place to ask for the views of people living in the home and involve them in decisions about their home. The management team was committed to driving improvement and continuing to learn when things went wrong. However, new systems implemented by the provider needed time to be firmly and consistently embedded.

The provider had systems to identify risks and risk assessments were being done for people’s care and support. Safeguarding systems, policies and procedures were in place. Improvements had been made in decoration and maintenance and the provision of appropriate and properly maintained equipment.

The home was clean and hygienic and infection control procedures were in place. People told us the home environment was “greatly improved” and “more homely.”

Records showed that people received their medicines as prescribed and were detailed and person centred. Storage and disposal of medicines was appropriate and followed guidance.

We have made a recommendation about recording and storage of powder to thicken drinks.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

We have made a recommendation on individualising all capacity assessments.

The manager used recognised clinical tools and followed good practice.

The provider has systems in place for making referrals to other professionals and specialist services. Staff were aware of people's dietary needs, preferences and any cultural requirements. The menus in use were varied to provide a range of choices. We saw lunch was a sociable and unhurried occasion and people told us they enjoyed their meals.

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

Rating at last inspection (and update)

The last rating for this service was inadequate (published 13 May 2020) and there were multiple breaches of regulation. This service has been in Special Measures since May 2020. During this inspection the provider demonstrated that improveme

Inspection areas

Safe

Requires improvement

Updated 5 June 2021

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 5 June 2021

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 5 June 2021

The service was caring.

Details are in our caring findings below

Responsive

Requires improvement

Updated 5 June 2021

Well-led

Requires improvement

Updated 5 June 2021

The service was not always well-led.

Details are in our well-Led findings below.