CQC report explained · a residential care home
What the CQC found at The Spinnies
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, August 2018
The Spinnies is rated Good; inspectors found safe, caring and personalised support, with a medicines check still needed.
Inspectors made an unannounced, comprehensive visit on 21 June 2018. They looked at care records, medicines, staffing, recruitment, training, complaints, safety checks and the way the home was managed. They observed how staff supported people and spoke with staff, managers, a visiting professional, a relative and another professional.
The home supported up to four people with learning disabilities or autism. Two people were living there during the visit. Inspectors found that people were safe, staff understood their needs, and support was kind and respectful. People were helped to make choices, stay active and take part in community activities.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. This was the same overall rating as the previous inspection in June 2016. Inspectors found no serious risks or concerns, but noted that one medicines practice needed checking with a pharmacist.
Kind and respectful support
Staff understood what mattered to people and respected their choices. Inspectors saw staff accept a person's decision not to join an activity and offer an alternative.
“People were supported by a staff team that were kind, caring and supportive.” from the report
Personalised activities
People were supported to enjoy activities and try new experiences. Examples included horse riding, cooking, spa visits, day trips and community activities.
“People received daily opportunities to participate in activities of their choosing.” from the report
Good risk management
The home supported people to take positive risks without placing unnecessary restrictions on them. Staff used positive behaviour support plans and training to manage risks.
“The registered manager and staff team had a positive approach to risk taking.” from the report
Strong management checks
The home had regular audits, staff meetings, communication systems and an improvement plan. Inspectors found that managers used these to monitor safety and quality.
“There was a system of audits and processes in place that continually checked on quality and safety.” from the report
Medicines given with food
needs fixingOne person's medicines were given with food, but this had not been checked with a pharmacist. The management team said they would contact the pharmacist immediately to confirm that this did not affect the medicines.
“Where a person had their medicines with food this had not been checked with the pharmacist.” from the report
End of life planning
minorThe home was not providing end of life care during the inspection. The manager said discussions and plans about end of life wishes still needed to be explored with people and relatives.
“The registered manager told us they were aware that end of life discussions and plans needed to be explored with people and their relatives and had plans to do this.” from the report
- 01Has a pharmacist confirmed that each medicine given with food remains effective, and how is this recorded?
- 02How will you involve my relative and our family in future end of life discussions and planning?
- 03How do you assess and review risks while still supporting people to take part in activities and community life?
- 04What communication methods would you use if my relative cannot communicate verbally?
- 05How do you check that staff training and competency remain up to date?
This was an unannounced comprehensive inspection covering all five key questions, and the ratings remained Good from the June 2016 inspection. This explanation was written from the published report of 9 August 2018 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 The Spinnies
3 rated inspections over 3 years: the service has improved, from Requires improvement to Good.
- August 2018Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2016Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2015Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- July 2013
Report published without a new overall rating.
- May 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 30 December 2010.
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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