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Angels (Stratton House) Limited Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 25 September 2019

About the service

Stratton House is a care home that provides personal and nursing care for up to 24 older people. The service is provided in accommodation over two floors. At the time of the inspection, 22 people were living at the home.

People’s experience of using this service and what we found

Since the last inspection the provider and registered manager had failed to assess and monitor the quality and safety of some of the services provided. This included the environment, infection control, safe medication management and accident incident analysis. This had a potential impact on people’s safety and quality of care. Some practices around dignity and respect could be improved.

Despite these shortfalls people were happy living at the home and told us they were cared for well and felt safe. We were introduced to people throughout our visit and they welcomed us. They were relaxed, comfortable and confident in their home. The feedback we received from relatives was good. Staff we met and spoke with were happy and proud of the care they provided.

Some aspects of the service were safe. People were supported to take risks and promote their independence. Risks were assessed and plans put in place to keep people safe. There was enough staff to safely provide care and support. Checks were carried out on staff before they started work to assess their suitability to support people in a care setting.

The service was effective in meeting people’s needs. Staff received regular supervision and training. Arrangements were made for people to see a GP and other healthcare professionals when they needed to do so. People were supported to have choice and control of their lives and staff supported them in the least restrictive way possible. People were provided a healthy, nutritious, balanced diet whilst promoting and respecting choice.

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.

Everyone we spoke with agreed that staff were caring and kind. Staff had a good awareness of individuals' needs and treated people in a warm and respectful manner. They were knowledgeable about people's lives before they started using the service. People were supported to maintain relationships that were important to them and participate in a range of activities.

The service was responsive to people’s health and social needs. People received person-centred care and support. Regular monitoring and reviews meant that referrals had been made to appropriate health and social care professionals. Where necessary care and support had been changed to accurately reflect people's needs and improve their health and wellbeing. People were encouraged to make their views known and the service responded by making changes.

Although improvements were required in many ways the service was well led and it was unfortunate that some areas had deteriorated. The registered manager felt this was attributed to her increased presence required at another of the providers homes that she managed. Although there was a deputy at the home in the registered managers absence, improved strategies were required to ensure a stronger management oversight.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (report published December 2016).

Why we inspected

This was a planned inspection based on the previous rating.

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.

Inspection areas

Safe

Requires improvement

Updated 25 September 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 25 September 2019

The service was effective.

Details are in our effective findings below.

Caring

Requires improvement

Updated 25 September 2019

The service was not always caring.

Details are in our safe findings below.

Responsive

Good

Updated 25 September 2019

The service was effective.

Details are in our effective findings below.

Well-led

Requires improvement

Updated 25 September 2019

The service was not always well led.

Details are in our safe findings below.