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Spencefield Grange Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 31 August 2019

About the service

Spencefield Grange is a care home providing personal and nursing care to 57 people aged 65 and over at the time of the inspection. The service can accommodate up to 60 people in a purpose-built building.

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

The systems in place to audit and monitor the service were not always effective and information was not always kept up to date, this meant staff were not always provided with the up to date information they needed to provide the care for people.

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; however, the provider needed to ensure staff consistently followed the policies and systems in place to fully comply with the principles of the Mental Capacity Act and Deprivation of Liberty Safeguards. This was specifically in relation to seeking authorisation when administering medicines hidden in people's food in their best interests.

People’s experience of mealtimes differed. Those who required more assistance at mealtimes sometimes had to wait for the support they needed, and staff did not always have the time to be as attentive to them as they required. People had a choice and meals were prepared to meet both people’s dietary and cultural needs.

People could be assured they were cared for safely. Staff had background checks before they started to work at Spencefield Grange which ensured they were of suitable character to care for people. Staff understood the needs of people and followed the guidance given to mitigate any risk identified for people and keep people safe from harm.

Staff were kind and caring and people looked relaxed and comfortable in their company. They had the skills and knowledge to support people and worked well as a team.

People were respected, and their dignity protected. They were involved in developing their care plans and relatives were kept informed. Visitors were welcome at any time, several relatives commented how supported and welcomed they felt. There was a complaints procedure in place and people were confident if they did have any complaints that these would be addressed.

People, relatives and staff were encouraged to share their feedback and the registered manager was open to suggestions and approachable.

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

Rating at last inspection

The last rating for this service was Good (published 18 October 2016)

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

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

Inspection areas

Safe

Good

Updated 31 August 2019

The service was safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 31 August 2019

The service was not always effective.

Details are in our effective findings below

Caring

Good

Updated 31 August 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 31 August 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 31 August 2019

The service was not always well-led.

Details are in our well-led findings below.