The Spinney Nursing Home

Updated 27 September 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 conducted by one inspector and an Expert by Experience.

An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

The Spinney Nursing 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. The Spinney Nursing 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 service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

At the time of our inspection there was not a registered manager in post, however the application to register with the Care Quality Commission was in progress for the current manager.

Notice of inspection

This inspection was unannounced.

Inspection activity started on 9 September 2022 and ended on 12 September 2022.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. 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 three people that used the service and four relatives. We spoke with eight members of staff including care staff, kitchen staff the manager and the nominated individual.

The nominated individual is responsible for supervising the management of the service on behalf of the provider.

We looked at a range of records including four care plans and their associated risk assessment and medicine records. We looked at policies and procedures, incident reporting and audits.

We looked at three staff recruitment records, and health and safety records.

Updated 27 September 2022

The Spinney Nursing Home is a residential care home providing personal and nursing care for up to 35 people. The service provides support to older people and people living with dementia, younger adults and people with a physical disability. At the time of our inspection there were 32 people using the service.

The Spinney Nursing Home is set across three floors and has a good amount of communal areas, garden and parking available.

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

People were kept safe by staff that had good knowledge about people’s needs and how to manage them. Staff understood their safeguarding responsibilities and people told us they felt safe living at the home. The manager made sure staff were recruited following safe processes and there were enough staff to keep people safe. We have made recommendations about the administration of some medicines and the management of infection and prevention control.

People benefitted from the fact that the home was run by a strong leadership team, meaning risks were assessed and mitigated. There was a positive culture at the home, we received positive feedback from people and their relatives. A relative said, “Everywhere is clean and tidy, the food is fine, and they offer alternatives if the menu options aren’t suitable.” Staff enjoyed their jobs and spoke highly of 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.

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 the service was requires improvement, (published 4 June 2021).

Why we inspected

The inspection was prompted in part due to concerns received about staffing numbers, maintenance of the home, and seeking timely medical input. A decision was made for us to inspect and examine those risks. We reviewed the key questions of safe and well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

Although we found some areas that needed to be improved, we did not find evidence that people were at risk of harm from these concerns. Please see the safe and well-led sections of this full report.

The overall rating for the service has remained requires improvement.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for The Spinney Nursing 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.