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Inspection Summary


Overall summary & rating

Good

Updated 11 November 2016

This inspection took place on 04 and 05 October 2016 and was unannounced. The home provides accommodation and care for up to 38 older people, including people living with dementia. There were 36 people living in the home when we visited. Accommodation is provided in either the main building or a second building in the grounds providing eight individual ‘apartments’.’

At our previous inspection, on the 07 and 10 July 2015, we found three breaches of regulations. The service was not meeting the regulations relating to keeping people safe from risk of harm, monitored the risk to people’s health and governance arrangements. We issued a warning notice and required the provider to make improvements. We returned to the service on the 14 December 2015 and found they had taken appropriate action. At this inspection we found improvements had been made and the identified concerns had been addressed.

There was a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People felt safe living at Stanwell Rest Home and they were very much at the heart of the service. The risks to people were minimized through risk assessments. There were plans in place for foreseeable emergencies and fire safety checks were carried out.

Safe recruitment practices were followed and appropriate checks were undertaken, which helped make sure only suitable staff were employed to care for people. Staff received training in safeguarding adults and knew how to report concerns.

Staff were trained and assessed as competent to support people with medicines. Medication administration records (MAR) confirmed people had received their medicines as prescribed.

Staff received regular one to one sessions of supervision to discuss areas of development. They completed a wide range of training and felt it supported them in their job role. New staff completed an appropriate induction programme.

People received varied meals including a choice of fresh food and drinks. Staff were aware of people’s likes and dislikes and offered alternatives if people did not want the menu choice of the day.

People felt they were treated with kindness and said their privacy and dignity was respected. Staff had an understanding of the Mental Capacity Act (MCA) and were clear that people had the right to make their own choices.

People had a choice and access to a wide range of activities and were able to access healthcare services.

‘Residents meetings’ and surveys allowed people to provide feedback, which was used to improve the service. People felt listened to and a complaints procedure was in place.

Staff were responsive to people’s needs which were detailed in people’s care plans. Regular audits of the service were carried out to asses and monitor the quality of the service. Staff felt supported by the registered manager.

Inspection areas

Safe

Good

Updated 11 November 2016

The service was safe.

People told us they felt safe living at the home and staff knew how to identify, prevent and report abuse.

There were enough staff to meet people’s needs and recruitment practices were safe.

Risks were managed appropriately and medicines were managed safely.

Effective

Good

Updated 11 November 2016

The service was effective.

Staff received appropriate training and one to one supervisions. Staff sought consent from people before providing care and followed legislation designed to protect people’s rights.

People were supported to access health professionals and treatments.

People were given a choice of nutritious food and drink and received appropriate support to meet their nutritional needs.

Caring

Good

Updated 11 November 2016

The service was caring.

People felt staff treated them with kindness and compassion.

People were involved in their care plan and their privacy was respected.

People were treated with dignity and respect; and encouraged to remain independent.

Responsive

Good

Updated 11 November 2016

The service was Responsive.

People received personalised care from staff who understood and were able to meet their needs.

The registered manager had appointed staff members to be champions in dementia and skin integrity.

People had access to a range of activities which they could choose to attend.

People’s views about the home were listened to. A complaints procedure was in place.

Well-led

Good

Updated 11 November 2016

The service was well- led.

Staff spoke highly of the registered manager, who was approachable and supportive. Staff felt there was an open and transparent culture within the home.

There were systems in place to monitor the quality and safety of the service provided. There was a whistle blowing policy in place and staff knew how to report concerns.

Staff had regular meetings and were asked for ideas on the running of the home.