Stoneleigh Residential Care Home Limited

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

At our last assessment we rated this key question good. At this assessment the rating has remained good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. The provider’s procedures helped staff ensure the service could meet people’s needs before admission. Pre-admission assessments were person centred and contained detailed information related to the person’s needs, such as health conditions, mobility, and communication. Staff demonstrated an understanding of people’s needs and confirmed they had access to sufficient information before people started using the service. Records showed care plans were regularly reviewed, and the provider made use of appropriate assessment tools.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. The provider’s procedures helped staff ensure the service could meet people’s needs before admission. Pre-admission assessments were person centred and contained detailed information related to the person’s needs, such as health conditions, mobility, and communication. Staff demonstrated an understanding of people’s needs and confirmed they had access to sufficient information before people started using the service. Records showed care plans were regularly reviewed, and the provider made use of appropriate assessment tools.

The provider worked well across teams and services to support people. They made sure peoples information was detailed and informative to staff, relatives and professionals from different services. This ensured a consistent approach in a way tailored to the person. Staff worked well together as a team and with other professionals to ensure people received appropriate support. One person said, “nurses come to take blood, and I have had flu and covid jabs. I have tinnitus which suddenly got worse, they sent for GP who came.”

Emergency packs were available to provide health professionals with essential information when people were admitted to hospital. One relative said, “I do feel that [person] is kept safe. They know her needs and I am confident when I hear them dealing with all the residents. [Person] had 2 falls, no hospital needed, staff dealt with it well and informed us.” Another relative said, “They will also take her to any appointments if I am unavailable, very good, they all know her well.”

Leaders held handover meetings between shifts and relevant issues about the home were discussed. Staff found the meetings valuable. Daily handovers were held by the leadership team to ensure the team addressed daily issues and knew the plan for the day.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support.

People had good access to healthcare professionals and people were supported to develop skills which improved their outcomes. For example, a local chiropodist visited the home regularly to a tend to people’s foot health needs. There were regular strengthening exercises with people. These sessions had a positive impact on people’s ability to remain active and improve movement. People and relatives felt staff ensured people were supported to live healthier lives. A relative said, “Staff monitor her diet as she is diabetic, food looks good, she is very fussy, but she does enjoy it, appropriate snacks and drinks.” Another relative said, Food is good, she has even put on weight.” The registered manager gave an example of how they fortified a person’s diet to support muscle development. As a result, the person’s mobility has improved significantly. They are now able to use a zimmer frame to walk to places of their choice and are no longer restricted to their bedroom.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves. One person was reserved and quiet when they moved into the home. The dedicated staff had been instrumental in encouraging the person’s growth, engaging them in various activities that had boosted their confidence and rekindled their enjoyment of socialising. One relative said, “Mum constantly talks about the food, she can be hard to please, gets choices, snacks and drinks, normal diet and is a different person these days. Staff engage her and promote her independence. Now, she just uses a stick, chooses how she spends her day, taking part in different activities.” The team looked for opportunities to enrich people’s lives, ensuring they experience growth, happiness, and a genuine sense of independence. For example, staff told us how they identified a person was losing weight and then observed the person’s eyesight had deteriorated. In response, staff and management replaced the flat plate with a red bowl. This simple change enabled them to feed themselves without spillage, as she could see the edge of the bowl clearly and felt less anxious about making a mess. As a result, staff no longer needed to feed her, promoting independence and dignity.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

People told us they had full choice and control about how they lived their daily lives. For example, what time they got up and went to bed, the clothes they wore, what time and where they ate their meals and whether to participate in activities. One person told us, “I can go to my room when I want, I wake up at 6am and read and go to the dining room for breakfast. I go to bed when I want and have a TV in my room. I can watch what I want.”

A relative told us their family member remained in control of her life and commented, “She has free range to plan her day, day room occasionally, her choice, she sees her friends regularly, she is very compass mentis so enjoys company in her room.”

Where people had capacity, staff respected their right to make decisions with risk. One staff member gave an example of how they worked with 1 person to understand and mitigate risks whilst respecting the person’s views and opinions. This staff member told us, “This is their beginning of a different type of life, and we are here to support them have the best of it. One person likes to walk about but sometimes struggles with this. We do not tell them to sit down. We remind them to use their walking stick or zimmer frame. Sometimes we offer a wheelchair so they can get to where they need to." One person confirmed, “I choose what I want. The staff are good though, when I need help, they give me as much help as I need. They don’t take over at all. Very kind staff here.” Care plans had been agreed with people to minimise identified risks.

We observed staff sought people’s consent before providing care and clearly worked with people in the least restrictive way. People’s mental capacity assessments were decision specific and clearly evidenced the actions taken to ensure people had the best chance of understanding the decision to be made.