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Poplars Nursing and Residential Care Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 10 January 2020

About the service

Poplars Nursing and Residential Care Home is a care home providing personal and nursing care to 37 people aged 65 and over at the time of the inspection. The service can support up to 60 people in one adapted building with support provided over two floors with five communal lounges for people to use.

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

Staff understood how to reduce the risk of infection but did not always follow procedures in place by wearing aprons when required. Improvements had been made to staffing levels which had reduced the number of unwitnessed falls and incidents between people. This needs to be maintained to ensure people’s needs are met safely on a consistent on-going basis.

People were not always given a choice of food in a way they understood. People were not always supported to eat and drink at meal times when they needed it. People’s diverse needs were not always fully considered in the assessment process.

People’s dignity was not always respected. Staff did not always use terminology that promoted people’s dignity.

Support was not always delivered in line with people’s preferences. People were not always supported to have baths as often as they would like and people living with dementia did not always have their care needs met in their preferred way.

People told us they felt safe. Effective systems were in place to keep people safe and staff understood how to report safeguarding concerns. People’s risks were assessed and staff understood how to manage risks. Action was taken where needed to manage risk and maintain people’s safety. Medicines were stored and administered safely, and clear protocols were in place for the administration of ‘as required’ medicines. When things went wrong, action was taken immediately to reduce the risk of reoccurrence.

People and their relatives were involved in assessing their needs and identifying their preferences. People were supported by well trained staff who had the skills to meet their needs. People’s rooms were personalised to their preferences and pictorial signs supported people living with dementia to orientate themselves in the home. People were supported to access health professionals in a timely manner when needed and staff understood when referrals should be made for specialist health input.

Improvements had been made to the culture of the home but further time was needed for this to embed as some staff did not always follow procedures set by the manager.

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.

People were supported by staff who understood how to promote their independence and respected their privacy. People were supported by kind and caring staff who had built a rapport with them. People were supported to express their views and be involved in decision making about their care.

People’s care plans were personalised and reflected their needs and preferences. Improvements had been made to the activities available. People were encouraged to engage in activities of their choice and make suggestions for activities they would like to do. A complaints policy was in place which was followed. Where complaints had been made, they had been investigated thoroughly and a response had been provided. People’s end of life wishes had been discussed with them so their preferences were known at this stage of their life.

Audit systems had improved and were effective in checking the quality of the service. Daily audits had been implemented to ensure people were receiving support in line with their care plans. Concerns identified through audit checks were addressed immediately with staff. The manager was aware of their statutory responsibilities in relation to submitting notifications to CQC. Positive steps had been taken to improve the culture i

Inspection areas

Safe

Requires improvement

Updated 10 January 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 10 January 2020

The service was not always effective.

Details are in our effective findings below.

Caring

Requires improvement

Updated 10 January 2020

The service was not always caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 10 January 2020

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 10 January 2020

The service was not always well led.

Details are in our well led findings below.