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Stoneacre Lodge Residential Home Requires improvement

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Inspection report

Date of Inspection: 8 July 2014
Date of Publication: 29 July 2014
Inspection Report published 29 July 2014 PDF | 81.45 KB

Overview

Inspection carried out on 8 July 2014

During a routine inspection

Our inspection looked at our five questions; is the service caring? Is the service responsive? Is the service safe? Is the service effective? Is the service well led?

Below is a summary of what we found. The summary is based on our observations during the inspection, speaking with people using the service, speaking with the staff supporting them and looking at records.

If you want to see the evidence supporting our summary please read the full report.

Is the service safe?

Care and treatment was planned and delivered in a way that ensured people’s safety and welfare. Records were in place to monitor any specific areas where people were more at risk and explained what action staff needed to take to protect them.

The home was clean and fresh throughout. Two visitors we spoke with particularly commented about the cleanliness and lack of odours at the home. We also saw there were effective systems in place to reduce the risk and spread of infection.

Improvements had been made to the general décor and furnishing at the home and an action plan was in place to address areas still needing attention.

There were enough qualified, skilled and experienced staff to meet people’s needs. We spoke with five people who used the service and six visitors. They told us they felt that in the main there was sufficient staff on duty to meet people’s needs. One person told us, “There is the odd time when all the staff are busy, but usually it’s okay.”

Is the service effective?

People’s health and care needs were assessed on a regular basis. People who used the service, and the visitors we spoke with, confirmed they had been asked about the care and support people needed. However, care plans had not been signed by them to acknowledge they agreed with the planned care.

The care plans we checked identified people’s care needs and preferences in good detail and we saw they had been evaluated and updated as required.

Staff comments, and the records we sampled, showed they had access to a varied training programme that helped them meet the needs of the people they supported.

Is the service caring?

People were supported by friendly, caring and approachable staff. We saw staff interacting with people in a positive manner. They encouraged them to be as independent as they were able to be while providing support as needed. One person told us, “They (care staff) care about us. They are always asking if we are all right, you can’t ask for anything more.”

People looked well-presented and cared for. The people we spoke with all said they were happy with the care provided and complimented the staff for the way they delivered care.

Staff we spoke with demonstrated a good knowledge of the people they cared for and could tell us about their preferences and individual care needs as recorded in the care plans we checked.

Is the service responsive?

Care records demonstrated that when there had been changes in people’s needs outside agencies had been involved to make sure they received the correct care and support. For example we saw assessments had been completed to make sure people were eating and drinking enough. Where people needed additional support timely referrals had been made to the GP or other healthcare professionals.

Records showed people had access to a variety of social activities. The home employed an activities co-ordinator and we saw outside entertainment was also arranged.

The home had a complaints procedure which was available to people using and visiting the service. The manager told us one complaint had been recorded since our last inspection and this had been resolved satisfactorily. We also saw thank you cards were displayed complimenting staff for the care and support they had provided.

Satisfaction surveys and meetings had been used to enable people to share their views on the service provided. This helped the provider to assess if people were receiving the care and support they needed. People’s comments indicated they were happy with how staff supported them and the home’s facilities.

Is the service well-led?

There was a quality assurance system in place to assess if the home was operating correctly. This included surveys and internal and external audits. We saw action plans were in place to address any areas that needed improving and progress was being made to address these.

Staff were clear about their roles and responsibilities. We saw staff had access to policies and procedure to inform and guide them. Staff training and development needs had been assessed to enable the provider to arrange future training sessions.