26 November 2019
During a routine inspection
Southcrest Nursing Home is a care home that provides nursing and personal care for up to 40 people within one large adapted building. It provides care to people requiring general nursing care some of whom live with dementia and have physical disabilities. At the time of our inspection, 31 people were living at the home.
People’s experience of using this service and what we found
There were some elements of care documentation which required reviewing further to ensure the information provided was personalised and an accurate account of people’s care to guide staff. More could be done to provide people with consistent recreational and social activities to meet their interests and stimulate people’s senses.
People's care and support had been enhanced by the provider and management team working together to make improvements since our last inspection. Work was continuing to drive through further improvements required as identified at this inspection. The registered manager understood time was needed to embed improvements and sustain these.
People's safety was protected from abuse by staff who knew what procedures to follow to keep people safe from harm. Staffing arrangements were reviewed to promote people's safety and individual needs.
Improvements were made since our last inspection to infection prevention and control practices. Staff were provided with training and protective equipment to manage the risks associated with infection prevention and control. People were provided with assistance to take their medicines and their health was promoted by staff who worked alongside the relevant professionals.
Systems for the safe recruitment of staff were robust. Staff received an induction which was based on the providers expectations of their staff team and ongoing management support to assist staff to continually improve in their roles.
People's individual needs and requirements were assessed prior to them moving into the home. People had support to eat and drink safely and comfortably, and contact had been made with doctors where required to obtain advice about meeting people's nutritional needs.
The provider had made improvements following our previous inspection to ensure people's rights under the Mental Capacity Act were understood and promoted by staff and management.
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's consent was sought by staff who knew people's preferred communication styles to aid their understanding in making everyday choices and decisions.
Staff supported people to be pain free at the end of their lives and for their wishes to be followed at this important time in their lives. Relatives were welcomed into the home and included in their family member’s care. Incidents and complaints were analysed, and learning was shared with staff. People living at the home and their relatives were encouraged to raise issues around quality and safety.
The registered manager was open and responsive to making ongoing improvements and achieving good quality care.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (published 20 December 2018) and there were multiple 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.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Southcrest Nursing Home on our website at www.cqc.org.uk.
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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk