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Snapethorpe Hall Requires improvement

The provider of this service changed - see old profile

We have removed an inspection report for Snapethorpe Hall from 12 April 2019. The removal of the report is not related to the provider or the quality of this service. We found an issue with some of the information gathered by an individual who supported our inspection. We will reinspect this service as soon as possible and publish a new inspection report.

Inspection Summary


Overall summary & rating

Requires improvement

Updated 9 April 2020

About the service

Snapethorpe Hall provides residential and nursing care for up to 62 older people, some of whom are living with dementia. Accommodation is provided on two floors. The home was split into three units, with the ground floor having a residential unit and a separate dementia unit. The first floor had a mix of residential and nursing care beds. Six beds were used for short-stays. On the first day of our inspection there were 45 people living in the home. On the second day this number was 46.

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

Medicines were not safely managed at this inspection. We identified three people whose pain relief was not available on the first day of our inspection. We observed people not being offered medicines which were prescribed ‘as required’.

There were insufficient numbers of suitably deployed staff. Staff described covering areas of the home they were not allocated to in order to meet people’s care needs. This meant the area they were supposed to work in was at times not staffed.

Governance checks were taking place, although these were not robust as the above issues were not identified. Management spot checks were taking place on all shifts to assess quality oversight through both day and night. Meetings for people, their relatives as well as staff were taking place.

Feedback was actively encouraged through several systems. The most recent satisfaction survey for people and relatives showed mostly positive feedback was received. An action plan had been created and put on display. Relatives knew how to complain if they were dissatisfied and when this happened, this was managed appropriately.

Feedback we received showed staff were kind and caring. We observed positive interactions between staff and people. Staff were familiar with people's preferred routines and their care needs. Privacy and dignity was maintained and people’s equality, diversity and human rights were met.

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.

Risks to people were assessed and action was taken to reduce levels of risk. Care plans were person-centred and contained sufficient detail for staff to follow. Activities were taking place both inside and outside of the home.

Staff received a programme of induction, training, supervision and appraisal. Staff spoke positively about a recent change in the registered manager.

We have made a recommendation about the recording in food and fluid charts.

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 Good (published 28 July 2017). There was also an inspection report published on 12 April 2019. This was withdrawn as there was an issue with some of the information that we gathered.

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We have identified breaches in relation to the safe management of medicines, governance and staffing . You can see what action we have asked the provider to take at the end of this full report.

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

Requires improvement

Updated 9 April 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 9 April 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 9 April 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 9 April 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 9 April 2020

The service was not always well-led.

Details are in our well-Led findings below.