4 May 2022
During a routine inspection
The Spinney is a domiciliary care agency and extra care scheme registered to provide personal care to people living in their own homes. The service supports older people some of whom were living with dementia, people with a sensory impairment, people with a physical disability, and people with mental health support needs. At the time of the inspection, 46 people were using the service of which 40 people received personal care.
People’s experience of using this service and what we found
Staff knew how to safeguard and how to support people to keep them safe. People received their medicines as prescribed and staff ensured they followed infection prevention guidance and good practise. Enough skilled and suitable staff had been safely recruited. The service and the staff team took on board learning when things went wrong.
People were supported as much as practicable by a consistent staff team who they felt comfortable with. Staff knew people's assessed and current needs well and care plans were reviewed as soon as changes occurred. Staff had received the required training and ongoing support to help them maintain and improve their skills to fulfil their role and responsibilities. People said staff had the skills necessary to care for them well.
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 said staff were caring and knew their needs and preferences well. Staff gave people privacy, treated them with dignity and respect, and helped promote people's independence.
People said they were involved when reviewing their care and felt staff were responsive to their changing needs.
Monitoring and oversight of the service was effective in identifying and driving improvements. The registered manager led by example and had fostered an open and honest staff team culture. People came first and foremost, and they had a say in how the service was provided. The provider worked well with other organisations, to provide people with joined up care.
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 the service under the previous provider was Good, published on 01 December 2018. This service under its current provider was registered with us on 01 July 2019 and this is the first inspection.
Why we inspected.
This was inspection was based on the service being unrated under its current provider's registration.
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.