Background to this inspection
Updated
17 June 2022
The inspection
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
The inspection visit was completed by two inspectors and an Expert by Experience. An Expert by Experience is someone who has experience of using this type of service.
Service and service type
Studley Rose is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Studley Rose is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.
At the time of our inspection visit there was no registered manager in post. The service was being managed on a day to day basis and a new manager had been recruited but had not yet took up their position.
Notice of inspection
The inspection visit was unannounced.
What we did before inspection
We reviewed information we had received about the service, such as statutory notifications. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers 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 seven people who received a service to understand their experiences about the quality of service. We spoke with five members of care and nursing staff who supported people. In addition, we spoke with the chef, a housekeeper, a home manager, two regional managers, a facilities manager and a director of operations. Following the visit, we had electronic communication with the director of regulation to review further information they sent to us.
We reviewed a range of records. This included three people’s care records and examples of medication records. We also looked at two staff recruitment files and records that related to the management and quality assurance of the service, especially around managing risk, medicines management, complaints, compliments and systems to review the quality of service provided.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We also reviewed additional information given to us by the director of regulation which we have used to inform our judgements.
Updated
17 June 2022
About the service
Studley Rose is a nursing home, providing nursing and personal care and accommodation to young adults and older people who live with dementia and or a physical disability. Studley Rose is registered to provide support and accommodation to 65 people. At the time of our visit, the service supported 21 people. The home has accommodation across three floors, during our visit only one and a half floors were open and occupied. The provider had a staged approach to open more areas and rooms as occupancy increased. People had their own rooms which were ensuite as well as communal lounges, communal dining rooms, a bistro area, quiet spaces and an outdoor area.
People's experience of using this service and what we found
Risks to people’s health had been identified. Staff had a good understanding of people’s individual risks and how best to support those people to reduce them.
People were supported to take their medicines as prescribed by trained staff. Staff understood how people preferred to take their medicines and action to take should an error occur with medicines.
People’s care and support was personalised and tailored to meet their needs. More experienced staff showed a good understanding of people; their likes/dislikes, routines and how they communicate.
Staff were provided with training to enable them to carry out their roles effectively. Staff told us they felt supported and the provider was a good employer to work for.
People were safe because staff were recruited safely. Staff and the provider knew how to keep people safe and protected from abusive practice.
Systems to learn lessons when things went wrong helped to drive improvements. The provider notified us at the right times when notifiable incidents had occurred.
Staff followed infection control procedures in line with national guidance for reducing the risk of infection from COVID-19. Staff wore personal protective equipment (PPE) correctly and they knew how to dispose of PPE safely.
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.
The quality and safety of the service people received was routinely monitored by the manager through a programme of audits.
Staff said they worked well together. However, staff also told us some of the staff team were relatively new to the home and continued to get to know people’s preferred routines. Some people living at the home said this meant some delays when care or support was required because staff were not always familiar with their preferences.
Assessments were completed before care was provided. This helped to ensure staff had the information, relevant skills and knowledge to meet a person’s needs.
People’s plans of care were sufficient for staff to provide safe care. Conversations with staff showed they knew how to manage people’s individual health and welfare. In some examples, intervention by a GP or occupational therapist had been sought to help keep people safe. However, systems that reviewed care plans required some improvements to ensure the right levels of support continued to be provided.
Studley Rose was purpose built and utilised assistive technologies such as electronic opening doors and lighting. Monitoring via cameras were fitted internally in all communal corridors and in people’s bedrooms which would react to movement and audio. The system was not yet operational. The provider was working on introducing this once appropriate checks and consent was considered, sought and in place.
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
This service was registered with us on 19 August 2021 and this is the first inspection under this provider.
Why we inspected
This was a planned inspection based on the date the service was first registered with the CQC.
Follow up
Following our visit, the provider sent us some additional information and updated us on the actions they had taken to address, based on some of the feedback we had provided during our visit. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.