CQC report explained · a residential care home
What the CQC found at Spinney (The)
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured about infection prevention, visitor controls, COVID-19 testing, social distancing, admissions, protective equipment and hygiene.
- Effective?
- Good
- This was not assessed in this targeted inspection.
- Caring?
- Good
- This was not assessed in this targeted inspection.
- Responsive?
- Good
- This was not assessed in this targeted inspection.
- Well-led?
- Good
- This was not assessed in this targeted inspection.
What inspectors found, August 2020
Spinney (The): Inspected but not rated; inspectors found good infection control arrangements during the COVID-19 pandemic.
Inspectors visited on 14 August 2020. The visit was announced and focused only on infection prevention and control during the coronavirus pandemic.
They found good practice in visitor checks, COVID-19 testing, use of protective equipment, staff training and social distancing. People were also supported to keep in touch with relatives and friends.
The home was marked 'Inspected but not rated'. This means the visit did not give an overall quality rating or assess all five areas of care.
Visitor infection checks
Visitors had their temperature checked and were supported to wear face coverings. Handwashing and hand sanitiser were available.
“All visitors were required to have their temperature taken before they entered the care home.” from the report
COVID-19 testing
The home had a designated team to test residents and staff in line with government guidance.
“There was a designated team that administered the tests for people using the service and for staff.” from the report
Staff infection control
Staff had training in infection control and protective equipment. Working on the same floors was intended to reduce cross-infection.
“All staff had received training on infection control and the use of PPE.” from the report
Keeping families connected
People could have socially distanced visits in a garden area or keep in touch by phone and video messaging.
“People were supported to have visits from their relatives and friends in a designated area in the garden where social distancing was observed.” from the report
Support during lockdown
People at particular risk or isolating were offered extra activities, including through an additional activities coordinator.
“People at extreme risk and those isolating were supported in creative ways” from the report
Inspectors raised no specific concerns in this report.
- 01What infection prevention and control arrangements are in place now?
- 02How are visitors currently checked and supported to use protective equipment?
- 03How are residents and staff tested for infections now?
- 04How do staff maintain contact between residents and their families when visits are restricted?
- 05What are the home's current ratings for Effective, Caring, Responsive and Well-led?
This was a targeted inspection of infection prevention and control measures only; the service was inspected but not rated overall and the other care areas were not assessed. This explanation was written from the published report of 25 August 2020 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.
What inspectors found, October 2019
Spinney (The) was rated Good overall; inspectors found kind, safe and personalised care, with a few records and medicines checks needing attention.
This was an unannounced inspection on 17 September 2019. Inspectors spoke with four people, five relatives and 13 staff. They observed care, reviewed six care records, medicines records, six staff recruitment files and management records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found people were treated with dignity, involved in their care and supported by trained staff. They also found that risks, medicines, food, activities, healthcare and complaints were generally managed well.
There were some issues to address. One medicines competency check was overdue, one person at risk of choking did not have up-to-date specialist guidance, and accident records did not show lessons learned. The home remained Good overall, and the previous inspection had also been rated Good.
Kind and respectful care
Inspectors found staff knew people well and treated them as individuals. Privacy, dignity and personal choices were respected.
“People were supported by kind and caring staff who treated people as individuals and with dignity and respect.” from the report
Good safeguarding and staffing
Staff understood how to report abuse and risks were assessed and reviewed. People, relatives and staff generally felt there were enough staff.
“The provider had robust recruitment systems to ensure staff were safely recruited.” from the report
Personalised support
Care plans included people's histories, likes, dislikes and preferred routines. People and relatives were involved in planning and reviews.
“People had person centred support plans in place. They were actively involved in their care and contributed to the development of care plans and reviews.” from the report
Activities and relationships
The home offered varied activities and supported people to go into the community. It also helped people keep in touch with family and friends.
“People engaged in a wide range of activities in the home and in the local community.” from the report
Strong management oversight
The home used regular audits, meetings, surveys and action plans to monitor care and respond to feedback.
“The provider had effective systems and processes in place to enable the registered manager to have oversight of the management of the regulated activity.” from the report
Overdue medicines competency check
needs fixingOne senior care worker's medicines competency assessment was overdue. The manager completed the assessment on the inspection day.
“However, we found one senior care worker's medicines competency assessment were overdue.” from the report
Out-of-date choking guidance
seriousOne person at risk of choking did not have current specialist swallowing guidance. The home made a new referral and requested swallowing training for all staff.
“However, we found one person who was a risk of choking did not have up to date guidance available from the speech and language therapist (SALT).” from the report
Limited learning from incidents
needs fixingAccident and incident records showed what had happened but did not record lessons learned. The manager said this would be reviewed.
“Accident and incidents records did not show lessons learnt when things went wrong.” from the report
- 01How do you make sure every staff member's medicines competency assessment is current?
- 02What is now in place for people at risk of choking, including current speech and language therapist guidance?
- 03What dysphagia, or swallowing, training have staff received since the inspection?
- 04How do you record and share lessons learned after accidents and incidents?
- 05How are families involved in care plan reviews and decisions about activities and end of life wishes?
This was an unannounced inspection of the care, premises and management of the home, covering all five CQC questions; all five ratings remained Good from the previous inspection. This explanation was written from the published report of 3 October 2019 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.
Every inspection of Spinney (The)
4 rated inspections over 4 years: the service has held its Good rating throughout.
- August 2020Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- October 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2018Goodstayed GoodSafe: GoodWell-led: Good
- March 2017Goodstayed GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2015GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2014
Report published without a new overall rating.
- December 2012
Report published without a new overall rating.
- October 2011
Registered with the Care Quality Commission on 11 October 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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