Background to this inspection
Updated
1 December 2020
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008. This was a targeted inspection looking at the infection control and prevention measures the provider has in place.
As part of CQC’s response to the coronavirus pandemic we are conducting a review of infection control and prevention measures in care homes.
The service had been identified for use by the Local Authority as a designated care setting in response to the Winter Plan for people discharged from hospital with a positive Covid-19 status. This inspection was to ensure that the service was compliant with infection control and prevention measures.
This inspection took place on 16 November 2020 and was announced.
Updated
1 December 2020
About the service:
Spurr House Short Stay Service provides accommodation and personal care for up to 36 older people. Care is provided for people who require respite, short term or emergency support. The service is a large detached property in its own grounds. All accommodation is on the ground floor and the home is split into four self-contained units, each with their own lounge area. On the day of our inspection visit there were 22 people using the service.
People’s experience of using this service and what we found:
People and their relatives spoke positively about the care provided. Staff were described as kind and respectful, ensuring people received support in line with their needs and wishes.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
People told us they felt safe during their stay with the service. Staff had a good underpinning knowledge about how to identify and report any safeguarding concerns. This was supported by a safeguarding policy and associated procedures.
The service was visibly clean and odour free with effective cleaning and infection control processes in place.
Medicines were being managed safely. People received their medicines as prescribed by staff who have been trained and assessed as competent to do so.
People were cared for by a staff team who were skilled and competent in their roles. Staff were up-to-date with any required training. Staff spoke positively about the training and support provided, including the completion of supervision and appraisals.
People were complimentary about the food and drink available, telling us enough was provided and they were offered choice. People requiring a modified diet received these in line with guidance.
Staff received equality and diversity training and demonstrated they were confident with difference and supportive in meeting the needs of people from different backgrounds.
Care plans contained personalised information about the people who used the service and how they wished to be supported and cared for.
People’s social and recreational needs were met through an activities programme, facilitated by an activity co-ordinator and staff members. A mix of activities were organised throughout the week which catered for all interests and abilities.
Systems for audit, quality assurance and questioning of practice that had been newly introduced or amended since our last inspection, were now well embedded into the service and operated effectively.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection:
The last rating for this service was requires improvement (published 20 November 2018) and there were three 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:
This was a planned inspection based on the previous rating.
Follow up:
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.