Archived: The Spinney Care Home

Updated 5 May 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

The inspection was carried out by one inspector.

Service and service type

The Spinney 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. The Spinney Care Home is a care home without 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 a manager registered with the CQC but this person currently did not work at the service. The provider had notified us of suitable management arrangements for the service during the registered manager absence.

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 sought feedback from partner agencies 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 four people who used the service. We spoke with relatives of three people receiving care. We also spoke with eight staff including the manager, the service manager, senior care staff, carers and domestic staff. We looked at a range of records. This included care records for two people, multiple medication record, a variety of records relating to the management of the service, including policies and procedures.

After the inspection we continued to seek clarification from the provider to validate evidence found. We also looked at quality assurance records.

Updated 5 May 2022

About the service

The Spinney Care Home is a residential care home providing accommodation for persons requiring personal or nursing care to up to 37 people. The service provides support to older people, younger adults, people with dementia, people with mental health needs, people with a physical disability and people with a sensory impairment. At the time of our inspection there were eight people using the service.

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

The Spinney Care Home was an older home which required significant maintenance, renovation and refurbishment. People and their relative or representatives had been asked by the provider, Derbyshire County Council, to share their thoughts about the options for the future of the care home. People felt safe and happy at the home whilst awaiting the outcome of the consultation.

Systems were in place to reduce the risk of harm to people. People and their relatives knew how to raise a concern and who to.

Staff understood people’s health care needs and how to meet these. Monitoring was in place using nationally recognised tools to ensure good outcomes for people.

People were supported by enough staff to meet their needs. Staff knew people’s preferences and supported them to make choices. People were supported to have contact with family and friends.

People received their medicines as prescribed.

Measures were in place for the safe emergency evacuation of people.

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 15 May 2019) and there were breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

We received concerns in relation to infection prevention and control. As a result, we undertook a focused inspection to review 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. The overall rating for the service has changed from requires improvement to good based on the findings of 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.

We found no evidence during this inspection that people were at risk of harm from this concern.

Please see the Safe section of this full report.

We carried out an unannounced comprehensive inspection of this service on 5 March 2019. A breach of legal requirements was found. The provider completed an action plan after the last inspection to show what they would do and by when to improve good governance.

As part of this focused inspection we were able to check they had followed their action plan and to confirm they now met legal requirements. 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.

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