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Stanwell Rest Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 7 August 2019

About the service:

Stanwell Rest Home is a care home for people living with dementia, a mental health need or other needs. The service supports up to 38 people across a main building and in eight purpose built apartments. At the time of the inspection there were 32 people receiving care.

People’s experience of using this service:

We identified a number of areas for improvement to ensure people living at Stanwell Rest Home were protected from the risk of harm.

Risk assessments and medicines procedures were not always robust enough to ensure people’s risks were minimised. We recommended the provider implement best practice guidance for the safe management of medicines.

People were not always supported to have maximum choice and control of their lives and staff did not always support them in the least restrictive way possible and in their best interests. The policies and systems in the service did not always support this practice, specifically relating to their medicines.

The building was not fully adapted to suit people’s needs relating to their dementia. We recommended that the provider fully implement national guidance relating to dementia friendly premises to improve people’s independence.

Governance procedures were not robust enough to identify the issues we had identified on our inspection and records were not always detailed. The registered manager had an open approach to feedback and was motivated to improve following a challenging period of staffing changes.

There were sufficient numbers of staff, and staff had a caring and empathetic attitude towards the people they supported. There was a strong culture of promoting independence in the home and staff knew people well.

We received mixed feedback from visiting professionals, however feedback relating to staff support of people living with mental health conditions and dementia was very positive.

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

Rating at last inspection:

The service was previously rated Good (report published 11 November 2016).

Why we inspected:

The inspection was prompted in part due to concerns received about how responsive the service was to people’s changing needs, staffing levels and the suitability of the premises. A decision was made for us to inspect and examine those risks.

Enforcement:

We identified that the service was in breach of two regulations. For actions we told provider to take, please see the end of the full report.

Follow up:

We will continue to monitor information we receive about the service. We will re-inspect the service in line with our planned schedule for services rated ‘requires improvement’.

Inspection areas

Safe

Requires improvement

Updated 7 August 2019

The service was not always safe

Details are in our Safe findings below.

Effective

Requires improvement

Updated 7 August 2019

The service was not always effective

Details are in our Effective findings below.

Caring

Good

Updated 7 August 2019

The service was caring

Details are in our Caring findings below.

Responsive

Good

Updated 7 August 2019

The service was responsive

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 7 August 2019

The service was not always well-led

Details are in our Well-Led findings below.