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The Spinney Nursing Home Inadequate

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Inadequate

Updated 14 May 2020

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 22 people were living in the service.

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

We found the provider had not implemented systems to ensure people were adequately safeguarded and serious risks to people's health and safety were not promoted. The management of medicines was unsafe and infection control practices did not support good hygiene or reduce the risk of cross infection. There was no evidence of lessons being learnt by the staff team when things went wrong. However, people we spoke with said they or their relative felt safe living at The Spinney. One family member told us, “[Relative] loves it here; they are safe.” Another person told us: “I’m quite content.”

People were not always supported to have maximum control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice. The service was not working within the principles of the Mental Capacity Act (MCA) in relation to Deprivation of Liberty Safeguard (DoLS) applications and consent was not always obtained from people before care and treatment was delivered.

People’s needs had not been thoroughly assessed and care plans did not reflect people’s assessed needs or identified risks. The planning of people’s care was poor and people were not always provided with good nutritional support. At our last inspection we recommended the provider offered people a wider variety of meal choices.

Routine appointments and visits by community professionals had been arranged. However, people were not always supported to access emergency health care services in accordance with their needs, particularly in relation to accidents resulting in potential head injuries.

The governance of the service was not effective, as the internal auditing systems had not recognised issues identified by the inspection team. Therefore, the assessing and monitoring of the service was not robust.

People were not always supported to be involved in the care planning process or to make decisions about their care and treatment. At our last inspection we recommended the provider involved people in planning their own care and support. At this inspection we have made a repeat recommendation about supporting people to make decisions about how their care and support is delivered.

We noted on one occasion a person’s privacy and dignity was compromised, as care staff did not recognise when assistance with personal care needs were required. At our last inspection we recommended the provider improved practices around promoting privacy and dignity. At this inspection we have made a repeat recommendation about respecting people's privacy and dignity.

Feedback from people was not regularly sought and meetings were not being held. We made a recommendation about this.

Parts of the environment were in need of updating and modernising, so the home is brought up to an acceptable standard for people to live in. We made a recommendation about this.

There were some gaps in training schedules and formal supervision was not consistent. A high percentage of agency workers were utilised and induction programmes for new employees and agency staff were not thorough. We made recommendations in these areas.

The management of complaints could have been better. We made a recommendation about this.

Recruitment practices adopted by the home were robust. This helped to ensure new employees were suitable to work with vulnerable people.

People told us they felt safe living at The Spinney. They were well-presented and looked relaxed in the company of staff. Staff members approached people in a pleasant manner and were supportive when assisting t

Inspection areas

Safe

Inadequate

Updated 14 May 2020

The service was not safe.

Details are in our safe findings below.

Effective

Inadequate

Updated 14 May 2020

The service was not effective.

Details are in our effective findings below.

Caring

Requires improvement

Updated 14 May 2020

The service was not always caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 14 May 2020

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Inadequate

Updated 14 May 2020

The service was not well-led.

Details are in our well-Led findings below.