Speirs House

Staffing levels met people's care needs. The home had a stable team that knew people well and had not used agency staff for six months.

“The service had not used agency staff for the last 6 months.” from the report

Inspectors observed positive interactions. Staff listened to people, used their preferred names and respected their choices and dignity.

“We observed positive interactions between staff and people.” from the report

Staff had relevant medicines training, audits checked medicines were given as prescribed, and the home was clean and hygienic.

“Regular audits were undertaken to check that people received their medicines as prescribed and in good time.” from the report

Staff training covered areas including safeguarding, medicines, manual handling, dementia and infection control. Staff also received regular supervision and appraisals.

“The service ensured that staff were provided with training relevant to their job.” from the report

The provider had addressed the earlier governance breach. Inspectors found enough improvement for the home to no longer be in breach of Regulation 17.

“At this inspection we found that some improvement had been by the provider to address the issues identified and they were no longer in breach of Regulation 17” from the report

Some incidents involving police and safeguarding investigations were not reported or investigated promptly. Records did not show clearly how lessons were put into practice.

“There had been more incidents resulting in police and safeguarding investigations that were not reported and /or looked into appropriately by the staff team in a timely manner.” from the report

Although recruitment checks were completed before staff started, some staff DBS checks had not been repeatedly confirmed by the Disclosure and Barring Service. In some cases, the last check was from 2000.

“In some instances, staff had their DBS check carried out last in 2000 when they started working for the provider.” from the report

Some mental capacity assessments were based on a standard format when people moved in. They were not specific to the particular decision or time.

“These assessments were not time or decision specific.” from the report

Care plans did not record discussions about people's cultural or religious preferences, even though the manager said this would be addressed.

“The care plans had not included information in relation to the discussions staff had with people regarding these preferences.” from the report

The management team had improved governance, but safeguarding incidents and DBS checks showed that oversight was still not reliable enough to prevent avoidable harm.

“More improvement was needed to oversee the quality of care being provided and management of the home.” from the report