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Inspection Summary


Overall summary & rating

Good

Updated 29 March 2019

Spetisbury Manor is a large converted property set in spacious well-maintained grounds providing residential care for up to 25 older people. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

At the time of this inspection there were 11 people accommodated at the home. The service had been without a registered manager for nine and a half months; however, a new manager had been appointed. They had just finished their 5 week induction and were in the process of registering to become registered manager. 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.

This focused, unannounced inspection was carried out on 10 December 2018 by two inspectors. The inspection was carried out because concerns had been raised about the management of the home and the care people received. The concerns were not substantiated at this inspection, although some areas for improvement were identified. The management team took immediate action to address the issues we identified.

No risks, concerns or significant improvement were identified in the remaining Key Questions through our ongoing monitoring or during our inspection activity so we did not inspect them. The ratings from the previous comprehensive inspection for these Key Questions were included in calculating the overall rating in this inspection.

The management team had systems in place that ensured most aspects of safety were addressed to promote safety in the home. Some hazards were identified during the inspection and the management took immediate action to address these.

The delivery of people's care had also been risk assessed to make this as safe for people as possible.

Staff were recruited in line with robust policies and all the necessary checks had been carried out by close of the inspection.

Medicines were well-managed and people received their medicines as prescribed by their doctor.

Staff had received training in safeguarding and were aware of their responsibility to report concerns.

Records we asked to see during the inspection were up to date and readily available on request.

Since the last inspection, the registered manager had ceased working at the home and a new manager had been appointed. They were in the process of registering to become registered manager and had kept us informed of progress. The period when there was no registered manager in post had led to some lack of leadership and instability in the running of the home.

There were auditing and monitoring systems in place seeking overall improvement. These could be improved to ensure that all areas of safety were addressed and actioned.

Inspection areas

Safe

Good

Updated 29 March 2019

By close of inspection the service was safe with the management taking immediate action to address the areas of concern we identified.

Staffing levels were appropriate to meet people’s needs and staff had been recruited in line with legislation.

Staff were knowledgeable and trained in adult protection.

People’s medicines were managed safely.

Effective

Good

Updated 22 July 2017

The service was effective.

Staff had completed an induction and on-going training that gave them the skills to carry out their roles effectively.

The principles of the Mental Capacity Act were followed ensuring people’s rights were upheld.

People’s eating and drinking needs were understood and met.

Caring

Good

Updated 22 July 2017

The service was caring.

People were supported by staff that knew them and understood their communication styles.

People described staff as kind, caring, friendly and patient.

People had their dignity, privacy and independence respected.

Responsive

Good

Updated 22 July 2017

The service was responsive.

People were involved in their individual care and support plans which were holistic and clearly explained what actions were needed to support their assessed care needs.

A complaints process was in place that people and their families were aware of and felt if they used they would be listened to and actions taken.

Well-led

Requires improvement

Updated 29 March 2019

The service had recruited a new manager and was well led at the time of our inspection. However, the period without a registered manager had led to a period of instability at the home.

The auditing systems required improvements as the systems in place had not identified some shortfalls found at the inspection.