Background to this inspection
Updated
20 December 2018
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This comprehensive inspection took place on 29 November 2018 and was unannounced.
The inspection was carried out by one inspector.
When planning our inspection, we looked at information we held about the service. This included notifications received from the provider about deaths, accidents/incidents and safeguarding alerts which they are required to send us by law. Before the inspection, the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We also contacted a commissioner of people’s care, who purchased care on behalf of a person at the home.
During our inspection we spoke with four people living at Stadon Road. Some people were not able to tell us what they thought of living at the home; therefore we used different methods to gather experiences of what it was like to live there. For example, we saw how staff supported people throughout the inspection to help us understand peoples’ experiences of living at the home. As part of our observations we also used the Short Observational Tool for Inspection (SOFI). SOFI is a way of observing care to help us understand the needs of people who could not talk with us.
During our inspection we reviewed three people’s care records to ensure they were reflective of their needs, and other documents relating to the management of the service such as quality audits, people’s feedback, and meeting minutes.
Updated
20 December 2018
Stadon Road is a ‘care home’ for up to seven people with disabilities. There were seven people living in the home when we visited. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.
At our last inspection on 30 June 2016 we rated the service as ‘Good’ in all areas. At this inspection we found the evidence continued to support a rating of ‘Good’ and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns.
This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.
There was not a registered manager in post at the time of the inspection. There was however an acting registered manager in post, who was proceeding with an application to register with CQC at the time of our visit. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
People were cared for safely. Staff had a good understanding of abuse and the safeguarding procedures to report any incidents of concern. Risk assessments were in place to manage potential risks within people’s lives, whilst also promoting their independence. Medicines were administered safely.
The staff recruitment procedures ensured that appropriate pre-employment checks were carried out to ensure only suitable staff worked at the service. Good staffing levels were in place.
Staff were well trained and supported to maintain effective care for people. Staff were all positive about the management in place, and were happy with the support they received.
Staff had developed caring and understanding relationships with the people they supported and knew their routines and preferences well. People’s independence was respected and promoted where possible and staff enjoyed working with people.
People's consent was gained before any care was provided. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice
People were involved in their own care planning and were able to contribute to the way in which they were supported. A process was in place which ensured people could raise any complaints or concerns, which were acted upon promptly.
People participated in activities, hobbies and events that they enjoyed. Information around the home was in an accessible format to help people understand information and make choices.
Audits and quality checks had been completed and had consistently identified where improvements were needed. Risks were known by staff and were mitigated against. Care records were up to date and person centred.