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What the CQC found at Snaith Hall Care Home

Goodpublished 27 January 2021, 5 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors found enough staff, safe recruitment, suitable risk assessments and safe medicines arrangements. The home was clean, and staff followed infection control guidance.
Effective?
Good
This area was not inspected during this focused visit. The previous rating was used in calculating the overall rating.
Caring?
Good
This area was not inspected during this focused visit. The previous rating was used in calculating the overall rating.
Responsive?
Good
This area was not inspected during this focused visit. The previous rating was used in calculating the overall rating.
Well-led?
Good
Inspectors found good oversight, regular checks and audits, open communication with families and effective partnership working. Staff described the registered manager as approachable.
The latest report, explained

What inspectors found, January 2021

Rated Good; inspectors found people were safe and well cared for, with clean surroundings and effective management.

This was a focused inspection on 13 January 2021, prompted by concerns about infection control. One inspector spoke with people, relatives, staff and managers, observed care, walked around the home and checked care, medicine, staff and management records.

The home was clean and tidy. Inspectors found enough staff, safe medicines practice, suitable risk assessments and checks on accidents and incidents. People and relatives said they felt safe, and staff were patient, kind and respectful.

The home was rated Good overall. Safe and Well-led were both rated Good. The other three areas were not inspected during this visit, so their previous ratings were used when calculating the overall rating.

What inspectors praised
  • Infection control

    The home was clean and tidy, and staff had training in infection prevention and control. Inspectors found staff were following Covid-19 guidance.

    “All areas were clean, tidy and there was sufficient cleaning taking place to keep people safe from the risk of infection.” from the report
  • Staffing and safety

    Inspectors found enough staff to meet people's needs. Staff recruitment checks and safety training had been completed.

    “There were enough staff on duty to meet people's needs.” from the report
  • Kind, respectful care

    Staff were observed treating people with patience, kindness and respect. Care was described as person-centred, with staff making time to talk with people.

    “We observed staff being patient, kind and respectful towards people.” from the report
  • Management and communication

    The home had regular checks and audits, and families said communication was open and clear. The registered manager had made positive changes since coming into post.

    “There was evidence of good leadership, oversight and management within the service.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How do you currently check that infection prevention and control measures remain effective?
  2. 02How are medicines checked, including for people who are encouraged to manage their own medicines?
  3. 03How do you review falls, accidents and incidents, and what changes have resulted from that learning?
  4. 04What positive changes has the registered manager made since coming into post, and how have you checked their effect?
  5. 05How do you make sure staffing levels remain sufficient for people's needs?

This was a focused inspection of Safe and Well-led only; the other ratings from the previous comprehensive inspection were carried forward when calculating the overall rating. This explanation was written from the published report of 27 January 2021 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

An earlier report, explained

What inspectors found, October 2017

Rated Good; inspectors found safe, kind and responsive care, with improvements made since the previous inspection.

The inspection was unannounced and took place on 22 August and 4 September 2017. Inspectors spoke with people living at the home, relatives, care workers and health professionals. They observed care, mealtimes and medicine rounds, and checked care records, staff files and management records.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found people were protected from abuse, received medicines safely and had enough staff to meet their needs. They also found kind care, personalised support plans, activities and good links with health professionals.

The home had previously been rated Requires Improvement in June 2016 and had breached four regulations. At this inspection, the inspectors found the provider had completed the required actions and identified no new breaches.

What inspectors praised
  • Safe medicines

    Staff involved with medicines were trained and observed following a clear process. Records, storage and audits were up to date.

    “Systems and processes ensured that where people had been assessed as requiring assistance with medicines, these were administered safely by trained care workers.” from the report
  • Kind and respectful care

    Inspectors saw staff treating people with kindness and respect. Staff knocked before entering rooms and supported privacy and dignity.

    “We observed staff being kind, compassionate and respectful towards people.” from the report
  • Personalised support

    Care plans included people's routines, abilities, interests and preferences. Records were reviewed and changed when people's needs changed.

    “Support plans were person centred and reflected individual's preferences.” from the report
  • Activities and involvement

    The activities coordinator learned about people's interests and offered group or one-to-one activities. People, relatives and staff were also asked for their views.

    “These meant residents were offered relevant and meaningful activities to participate in that they enjoyed.” from the report
  • Improved management

    The provider had introduced detailed audits and action plans. The previous inspection's concerns had been addressed and no new breaches were found.

    “There were robust systems of audit in place to check, monitor and improve the quality of the service.” from the report
What inspectors were concerned about
  • Bed safety

    serious

    Inspectors found a large gap at the foot of one mattress, which they considered a safety risk. The manager raised the matter with the supplier and carried out further checks.

    “We found one bed had a large gap at the foot of the mattress.” from the report
  • Lasting Power of Attorney records

    needs fixing

    Checks found that some Lasting Powers of Attorney were not always valid or did not clearly show the person's decision-making powers. Further work was planned to make the care records accurate.

    “Further work was planned to ensure care plans accurately recorded where a LPOA had been validated and the scope of the appointee to make decisions on behalf of the person.” from the report
Questions to ask them, based on this report
  1. 01What action was taken about the bed with the large gap at the foot of the mattress?
  2. 02Have all Lasting Powers of Attorney now been checked and recorded with the correct decision-making powers?
  3. 03How are care plans reviewed when a person's needs change?
  4. 04How many care workers are normally on duty during the day and at night?
  5. 05How are activities matched to each person's interests and communication needs?

This was an unannounced inspection covering all five CQC questions and the overall quality and safety of the service. This explanation was written from the published report of 5 October 2017 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Snaith Hall Care Home

3 rated inspections over 4 years: the service has improved, from Requires improvement to Good.

  1. January 2021Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Snaith Hall Care Home →

  2. October 2017Goodup from Requires improvement
    Safe: GoodWell-led: Good

    Read what inspectors found at Snaith Hall Care Home →

  3. August 2016Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. August 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. May 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. November 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. June 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. April 2011

    Registered with the Care Quality Commission on 19 April 2011.

Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.

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Most charge £1,030 to £1,420 a week. 14 can care for a couple. 7 years' experience on average.

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