6 October and 25 November 2015
During a routine inspection
We carried out an inspection over a period of two days 6 October 2015 and 25 November 2105. The first day of the inspection was unannounced and the second day took place to gather additional information.
On the first day there were 38 people who used the service and 41people on the second day. Summerville Nursing Centre was last inspected on 25 June 2013 and was found to be compliant with all the regulations that were inspected.
Summerville Nursing Centre is a care home registered to provide care and treatment for a maximum of 45 people requiring nursing care. The care home is based in a residential area, on the outskirts of Stockton Heath. The two storey property is a large converted house. Bedrooms are based over two floors and there is a smaller upstairs unit where there are bedrooms with ensuite bathrooms. There are two lounges and a dining area on the ground floor. The home is a short distance away from local amenities.
Summerville has a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
We saw that people were well cared for and very comfortable in the home. The people and visitors that we spoke with were very complimentary about the care that they received and told us that the staff were kind and caring. We observed that staff were skilled and patient, treating people with dignity and respect
People felt safe and told us that they received the support that they needed, in a way that respected their wishes. We found that there was a stable staff team who worked hard, ensuring that they supported people in a thorough and unrushed way. However at times people had to wait if they needed two members of staff to assist them, as another member of staff may not be available if assisting elsewhere. This was especially the case during the morning. The registered manager assured us that she would review the staffing levels and deployment of staff during these times.
Staff received regular training and supervision, although not all staff had received a minimum of four supervision sessions per year. The registered manager was aware of this and had plans to address the frequency of these in the future.
Care records were personalised and up to date, they reflected the support that people needed so that staff could understand how to care for the person appropriately. We saw that staff responded to people’s changing needs and sought involvement from outside health professionals as required. The GP visited the home every week to review people’s health needs on a regular basis.
People had access to activities both within the home and local community. We could see that the activities coordinator was a real asset to the home, one person told us that she was “excellent”. A full activities and entertainment programme was available to all residents, as well as one to one support for people who stayed in their bedrooms.
The home was well-led, with robust quality assurance processes in place.