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Stoneacre Lodge Residential Home Requires improvement

Inspection Summary

Overall summary & rating

Requires improvement

Updated 15 October 2019

About the service

Stoneacre Lodge is a care home situated in Dunsville, Doncaster. The care home is registered to accommodate up to 31 people in one adapted building. The service is provided by Seth Homes Limited. At the time of the inspection the home was providing residential care for 19 people.

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

Improvements had been made and were ongoing, in how people's safety needs were assessed and managed. However, appropriate checks were not fully completed for people who applied to work at the home. Also, people were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice.

The provider had an ongoing action plan that confirmed what action had been completed to make improvements with targets for future work. The inspection found improvements and the breaches in legal requirements from the last inspection had been met. However, improvements had been slow, and a further two breaches of regulation were found at this inspection. It was clear more time was required for further improvements to be made and those developed, to fully be embedded and sustained.

People told us they liked living at Stoneacre Lodge however, felt there were sometimes not enough staff to meet all their needs. Staff, although compassionate, kind and caring were under pressure to meet people's physical needs and were less able to meet their emotional needs.

Staff recognised the importance of promoting equality and diversity. Staff also maintained people's privacy and dignity when providing personal care and support. Staff training had improved, and staff morale was generally positive. Staff felt well supported by the management team.

People told us they felt safe. The registered manager and staff understood their safeguarding responsibilities to protect people from avoidable harm. People told us their medicines were managed safely. We found medicines were ordered, received, stored, administered and disposed of safely.

People’s needs, and choices were assessed. Care plans had been reviewed and updated to reflect the current needs of people who used the service. Information seen in care plans helped to ensure people's individual needs and wishes were being maintained. There was a limited activity programme available to people. People told us they would like more activities, outings or one to one time with staff. People who used the service knew how to make a complaint. There was a complaints procedure and we saw a system was in place to log any complaints received.

For more details, please see the full report which is on the CQC website at

Rating at last inspection and update

The last rating for this service was requires improvement (published 18 September 2018) and there were two breaches of regulations. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection enough, improvement had not been made and the provider was still in breach of regulations. The service remains rated requires improvement. This service has been rated requires improvement for the last five consecutive inspections. We will describe what we will do about the repeat requires improvement in the follow up section below.

Why we inspected

This was a planned inspection based on the previous rating. We have found evidence that the provider needs to make improvement. We have identified breaches in regulation for staff recruitment procedures and safeguarding people from abuse and improper treatment. Please see the relevant key question sections of this full report. You can see what action we have asked the provider to take at the end of this full report.

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards o

Inspection areas


Requires improvement

Updated 15 October 2019

The service was not always safe.

Details are in our safe findings below.


Requires improvement

Updated 15 October 2019

The service was not always effective.

Details are in our effective findings below.



Updated 15 October 2019

The service was caring.

Details are in our caring findings below.



Updated 15 October 2019

The service was responsive.

Details are in our responsive findings below.


Requires improvement

Updated 15 October 2019

The service was not always well-led.

Details are in our well-Led findings below.