What the CQC found at Culverhayes Nursing Home

Staff understood safeguarding and followed people's care plans and risk management guidance. Inspectors saw people being repositioned regularly and pressure-relieving equipment used appropriately.

“People were supported safely. Staff had a good understanding of safeguarding and acted in people's best interest where necessary.” from the report

Inspectors found enough staff to support people safely. Staff recruitment checks were completed, although the approach to repeating DBS checks was not fully risk-assessed.

“There were enough staff to support people safely. One staff told us: "I have never experienced a staff shortage, the manager will arrange cover if it is needed.” from the report

The home had improved its medicines auditing since the previous inspection. Inspectors found medicines were stored safely and people received them as prescribed.

“At the last inspection we recommended the provider review their auditing processes around medication, particularly around identifying where medicines were not stored at safe temperatures and stock balances of medication. We found improvements had been made in these areas.” from the report

Staff described a positive team culture, regular supervision and useful training. Inspectors found clear roles, effective audits and appropriate handling of the one complaint received since the previous inspection.

“There was a positive and open culture within the service. Staff described the service as a "whole team process" which worked well.” from the report

People could choose from individual trips, group activities and activities at the home. The home worked with health professionals and made referrals when needed.

“There were different types of activities available such as 1:1 trips out, group activities and 1:1 activities at the service.” from the report

Two rooms contained paint cleaner and power tools and were left unlocked and unattended at points during the inspection. The manager acted after this was raised, but this could have put people living with dementia at risk.

“These rooms were left unattended and unlocked at points throughout our inspection, which could have presented a risk to people living with dementia.” from the report

Some paintwork was chipped and needed repair. Inspectors said this could prevent effective cleaning and create an infection control risk. The home said repairs were part of ongoing maintenance work.

“This presents an infection control risk as it prevents these areas from being cleaned effectively.” from the report

Recruitment checks had been completed, but DBS checks were not repeated at regular intervals in line with best practice. The home had not shown that it had considered the risk of this approach.

“However, it was not evident the risk of this had been considered.” from the report

Some relatives said they were not always involved in care planning or care plan reviews. The home explained its review process and later held a meeting to explain it to relatives.

“Relatives told is they were not always involved in the care planning process or care plan reviews of their relative.” from the report