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Staveley Birkleas Nursing Home Good

Inspection Summary


Overall summary & rating

Good

Updated 1 March 2019

Staveley Birkleas is a nursing home. People in nursing homes receive accommodation and nursing or personal care as a single package under one contractual agreement. Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection. Staveley Birkleas accommodates 60 people in one adapted building. On the day of the inspection there were 50 people living in the home.

We undertook an unannounced comprehensive inspection of Staveley Birkleas on 22 January 2019.

At the last inspection in May 2018 we found the provider was in breach of two regulations of the Health and Social Care Act 2008 (Regulated Activities 2014) Regulations. This was in relation to 'Safe Care and Treatment' and 'Good Governance'. Following the inspection, the provider sent us an action plan stating how they would improve the service. At this inspection we found improvements had been made and the service was no longer in breach of regulation.

A registered manager was not in place. A manager had been recruited who was going through the CQC registered managers' assessment process. 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.

At the last inspection we rated the safe domain as inadequate. At this inspection we found the safety of the service had improved. However, we would need evidence that this could be sustained over time before we were fully assured the service was consistently safe.

People said they felt safe using the service. Overall, risks to people’s health and safety were assessed and mitigated and clear care plans were in place to guide staff. Safety incidents and safeguarding matters were appropriately managed and the service used any incidents to help improve the service. The premises were safely managed and were adapted to the needs of the people who used the service.

Medicines were managed in a safe manner although the service needed to ensure the recording of topical medicines such as creams was recorded in a consistent manner.

There were enough staff deployed to ensure people received prompt care and support including the provision of one to one hours. Staff were recruited safely to help ensure they were of suitable character to work with vulnerable people, with people who used the service involved in this.

Staff received a range of training which was relevant to their role. This was sourced through a variety of means including through developing relationships with local healthcare professionals. Staff said they felt well supported.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The registered provider’s policies and systems supported this practice.

People had access to a suitable range of food and drink and their nutritional needs were monitored appropriately by the service.

People’s healthcare needs were assessed and the service worked with a range of professionals to help meet those needs. People had clear and detailed care plans in place which were subject to review. People felt involved in decision making relating to their care.

People were cared for by staff who displayed kindness and compassion and treated people with dignity and respect. People’s feedback about staff was very positive.

People’s independence was promoted through care planning, and the provision of activities, exercise and physiotherapy.

People had access to a broad range of activities. The service had developed strong links with the local community and this combined with leisure facilities owned by the provider ensured plenty of opportunities were available to people.

People’s complaints were listened to and us

Inspection areas

Safe

Requires improvement

Updated 1 March 2019

The service was not yet consistently safe.

It would need to demonstrate sustained good practice for us to be assured of this.

Risks to people’s health and safety were assessed and in most cases followed. Medicines were managed safely.

There were enough staff to ensure people received prompt care and support. Safe recruitment procedures were in place.

Effective

Good

Updated 1 March 2019

The service was effective .

People praised the staff who supported them. Staff received a range of training and support to meet the needs of people who used the service.

People had access to a varied diet. Action was taken to address any nutritional risks identified.

The service worked with a range of health professionals to ensure needs were met.

Caring

Good

Updated 1 March 2019

The service was caring.

People said staff treated them with kindness and compassion. We observed staff had developed good, positive relationships with people.

People’s views were sought and used to improve the care experience.

People were treated equally and their human rights upheld.

Responsive

Good

Updated 1 March 2019

The service was responsive.

People’s care needs were assessed and the service delivered appropriate care in line with people’s wishes and preferences.

People’s diverse needs for example with regards to communication, religion and culture were taken into account and action taken to meet them.

People had access to a range of activities with opportunities for people on a daily basis within and outside of the home.

Complaints were appropriately logged, investigated and responded to

Well-led

Good

Updated 1 March 2019

The service was well led.

People, relatives and staff all provided positive feedback about the home and said it had improved in recent months.

Systems were in place to assess, monitor and improve the service and the management team had good oversight of the service.

People’s views were sought and used to improve the service.