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Inspection Summary

Overall summary & rating

Requires improvement

Updated 12 September 2019

About the service

The Spires is a care home providing personal and nursing care to 35 people aged 65 and over at the time of the inspection.

The Spires is a purpose built care home which accommodates up to 70 people in one adapted building spread over two floors. One of the floors specialises in providing care to people living with dementia.

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

People's medicines were not always administered as prescribed. Records relating to 'as required' medicines were not always completed.

People were supported by staff who knew them well. However, people's care files did not always contain up to date or completed information. This meant whilst people's needs were met, records did not always accurately reflect the support people were receiving.

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. However, documentation in relation to best interests decisions was not always complete.

Quality assurance tools were not effective in ensuring the quality of people's care files and medicines administration and records. This meant we could not be assured improvements were always identified and made to people's care where they were required.

People were supported by trained staff to maintain their wellbeing and people had access to a variety of health professionals. People were supported by caring and respectful staff who encouraged people to remain independent.

People were offered choice around their diet and meal times were an opportunity to build relationships with other people and staff. People had access to a variety of activities both in the home and in the wider community to reduce their risk of isolation.

The management team encouraged people to feedback about the service to ensure people received personalised and quality care. This meant people felt listened to.

For more details, please see the full report which is on the CQC website at

Rating at last inspection

This service was registered with us on 05/07/2018 and this is the first inspection.

Why we inspected

This was a planned inspection.


We have identified breaches in relation to how the quality of the service was reviewed and maintained at this inspection. Please see the action we have told the provider to take at the end of this 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


Requires improvement

Updated 12 September 2019

The service was not always safe.

Details are in our safe findings below.



Updated 12 September 2019

The service was effective.

Details are in our effective findings below.



Updated 12 September 2019

The service was caring.

Details are in our caring findings below.



Updated 12 September 2019

The service was responsive.

Details are in our responsive findings below.


Requires improvement

Updated 12 September 2019

The service was not always well-led.

Details are in our well-Led findings below.