Savernake View Care Home

Updated 31 December 2022

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

This inspection was carried out by 2 inspectors.

Service and service type

Savernake View Care Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Savernake View Care Home is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 4 people about their experiences of care and support received. We reviewed care records for 8 people, multiple medicines records, quality monitoring records, meeting minutes, health and safety records and staff supervision records. We also reviewed 2 staff files in relation to staff recruitment.

We spoke with 6 members of staff, the registered manager and the regional director.

Updated 31 December 2022

About the service

Savernake View Care Home is a care home providing nursing and personal care for up to 64 people. The service provides support to older people, people under 65 years and people living with dementia. At the time of our inspection there were 48 people using the service.

People had their own rooms on two floors with en-suite bathrooms. There were various communal areas available to people around the home including a cinema, café, hair salon, lounges, dining rooms and a private dining area. There were well established gardens available from the ground floor.

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

Incident management had improved, and systems were more effective in assessing and reviewing incidents and accidents. Forms recorded action taken in response to help prevent reoccurrence. Risks to people's safety had been assessed and there was guidance available to staff to give guidance on support needed.

People who experienced distress had detailed guidance in place so staff would know how to support them. The provider had also given staff additional training on supporting people living with dementia. Staff were also provided training on safeguarding and had systems in place to raise any concerns.

Staff were recruited safely and there were enough staff available to meet people’s needs. Staff were seen to be wearing appropriate personal protective equipment (PPE) and there was plenty of stock available. Training on infection prevention and control good practice had been provided to staff, and we observed staff following guidance. The service was clean throughout and smelt fresh.

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 had visits from family and friends. We observed during our inspection people going out with their relatives and also having visits at the service. There was a café near the front entrance where visitors could help themselves to refreshments.

Medicines were managed safely, and staff had been trained and assessed prior to being able to administer medicines. Where people had medicines ‘as required’, there were protocols in place to give staff guidance on how to give the medicine. The provider had changed their pharmacist since the last inspection and told us they were already seeing improvements in the service provided.

The registered manager was visible at the service and kept systems under review. For example, staffing rotas were reviewed daily, incidents were kept under review until all actions were closed, regular quality monitoring checks were taking place and there were regular meetings with people and staff.

The provider had improved their oversight of the service and were confident quality safety checks were now effective in driving improvements.

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

Rating at last inspection and update

The last rating for this service was requires improvement (published 11 October 2022) and there was 1 breach of regulation 17 (good governance) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. We served the provider a Warning Notice for the breach of regulation. At this inspection we found improvement had been made and the provider was no longer in breach of regulations.

Why we inspected

We undertook this focused inspection to check they had met a Warning Notice served following the previous inspection. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Savernake View Care Home on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.