Background to this inspection
Updated
27 January 2021
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
This inspection was carried out by one inspector.
Service and service type
Snaith Hall is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
We gave a short notice period of the inspection because of the Coronavirus pandemic. We had to arrange safe working procedures for our inspection.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority who work with the service. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.
During the inspection
We spoke with two people who used the service about their experience of the care provided. We received two emails from relatives about their views of the service. We spoke with the nominated individual, the registered manager, two members of care staff and the housekeeper. The nominated individual is responsible for supervising the management of the service on behalf of the provider.
We walked around the service and observed care and social interactions using infection prevention and control (IPC) and socially distanced practices.
We reviewed a range of records. This included three people’s care records and three people’s medication records. We looked at three staff files in relation to recruitment and staff supervision. We looked at a variety of records relating to the management of the service.
After the inspection
We continued to seek clarification from the nominated individual and registered manager to validate evidence taken away from the service and sent to us.
Updated
27 January 2021
About the service
Snaith Hall is a residential care home providing personal care to 30 people aged 65 and over at the time of the inspection, some of whom were living with dementia or with a physical disability. The service can support up to 47 people.
The service has two units, each spread across two floors; The Garden Wing and The Hall. A number of bedrooms have ensuite facilities. People living in the two units have access to outside gardens and seating areas, which are provided in secure settings. There is car parking for staff and visitors to the front and side of the service.
People’s experience of using this service and what we found
People felt safe and well looked after. All areas were clean, tidy and there was sufficient cleaning taking place to keep people safe from the risk of infection. Relatives said they were confident that staff provided good care in a safe way.
Care plans and risk assessments were in place for people's support needs. These were reviewed regularly and covered people's health conditions. Families confirmed that they were able to contribute their views on their relative’s care and support.
The assessment, monitoring and mitigation of risk towards people who used the service was good. The registered manager carried out regular checks and analysis of falls and incidents to ensure learning from events was undertaken. This meant risks to people's health and safety were reduced.
People received their medicines on time and when they needed them. Staff had positive links with healthcare professionals which promoted people’s wellbeing.
Staffing levels were consistent and staff were confident they could meet people’s needs. We observed staff being patient, kind and respectful towards people. Care was person-centred and staff had time to chat with people during the day.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice.
There was a registered manager who had come into post since the last inspection. They were making positive changes to the service; people, staff and relatives spoke highly of them. There was evidence of good leadership, oversight and management within the service.
For more details, please see the full report which is on the Care Quality Commission (CQC) website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 5 October 2017).
Why we inspected
The inspection was prompted due to concerns received about infection control. A decision was made for us to inspect and examine those risks.
We undertook a focused inspection to review the key questions of safe and well-led only. We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.
We found no evidence during this inspection that people were at risk of harm from these concerns. Please see the safe and well-led sections of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Snaith Hall Care 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.