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Spratslade House Care Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 6 November 2019

About the service

Spratslade House Care Home is a residential home for up to 30 people who have personal support needs. The building consisted of three floors. There were 29 people living there at the time of the inspection.

Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.

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

Peoples risk with weight loss was not always managed in a safe way. There were ineffective recording processes in place.

Peoples care files did not appropriately identify risk prevention to allow staff to ensure people’s risk of pressure ulceration was managed in a safe way. Risk assessments had not always been completed or had been filled out incorrectly.

The service could not demonstrate that it had a full employment history of some staff. They had a document for these checks in some staff files, but not all.

We have made a recommendation about the current legislation in relation to employment.

The registered manager did not always have an effective system to ensure that staff received appropriate training. The training matrix illustrated not all staff had completed the provider mandatory training in a timely manner.

We have made a recommendation about the management of staff training.

The service was not supporting anyone receiving end of life care, however, peoples end of life care and choices was not explored in detail

We recommend that the provider seeks to reflect the preferred preferences in the design of peoples end of life care to ensure their needs are met.

Medicines were managed safely. There were quality checks in place and staff received appropriate training before being able to administer medication. There were monthly medicine audits undertaken by the registered manager.

People’s human rights were protected by staff who demonstrated a clear understanding of consent, mental capacity and Deprivation of Liberty Safeguards legislation and guidance

People were involved in decisions about the décor of their rooms, which met their personal and cultural needs and preferences. People brought furnishings of their choosing that allowed personalisation of their rooms.

We observed staff supporting people in a caring and compassionate manner. Peoples care plans clearly evidenced the support they required and their personal preferences.

Residents and relatives meetings were held regularly. Feedback was gained to help the development of the home and actions moving forward.

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 (report published 24 January 2017)

Why we inspected

This was a planned inspection based on the previous rating.

We have found evidence that the provider needs to make improvements. Please see the safe and well led sections of this full report.

Enforcement

We have identified two breaches. Regulation 12 the registered person failed to ensure risks relating to the safety, health and welfare of people using the service were assessed and managed safely. Regulation 17 The registered person had not established an effective system to enable them to assess, monitor and improve the quality and safety of the service provided.

You can see what action we have asked the provider to take at the end of this full report.

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

You can see what action we have asked the provider to take at the end of this full report.

Inspection areas

Safe

Requires improvement

Updated 6 November 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 6 November 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 6 November 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 6 November 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 6 November 2019

The service was not always well-led.

Details are in our well-led findings below.