Background to this inspection
Updated
11 November 2022
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
Two inspectors carried out this inspection.
Service and service type
Stockdove House is a 'care home' without nursing care. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
At the time of our inspection there was not a registered manager in post. The provider was going through the process to become registered with the Care Quality Commission.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used all this information to plan our inspection.
During the inspection
We spoke with two people who used the service about their experience of the care provided. We spoke with five members of staff including the provider, administration manager, senior carer and carers. We spoke with one visiting health professional. We had a walk around the home to make sure it was homely, suitable and safe. We observed the care and support people received. This helped us understand the experience of people who could not talk with us.
We reviewed a range of records. This included three people's care records and multiple medication records. We looked at three staff files in relation to recruitment and reviewed a variety of records related to the management of the service, including policies and procedures.
Updated
11 November 2022
About the service
Stockdove House is a residential care home providing accommodation for persons who require nursing or personal care for up to 10 people. The service provides support to older people who may or may not be living with dementia. At the time of our inspection there were eight people living at Stockdove House.
People’s experience of using this service and what we found
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
Medicines were stored, managed and administered as prescribed. People were safe and protected from abuse and avoidable harm. The management team identified risks, and this was documented to guide staff and ensure people’s safety. Staff followed infection prevention and control procedures related to COVID-19 and other infections. Visitors were welcomed into the home and asked to follow infection prevention measures to keep people and staff safe. Staff were recruited safely, and staffing levels were enough to meet people’s needs. The management team had systems to learn from incidents to further improve the safety of the service.
The management team had governance systems to maintain ongoing oversight of the service and make improvements where necessary. Quality assurance processes ensured people were able to give their views of the service and improvements were made when they were required. The introduction of new systems had improved communication between staff and management. A member of management said, “Communication is really important, and we can work better together.”
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update: The last rating for this service was requires improvement (published 12 November 2021) and there were breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
At our last inspection we recommended that the provider look at how staff are deployed to meet people’s needs. At this inspection we found no concerns with response times. At our last inspection we recommended the provider review the storage of prescribed medicines. The provider had made changes and was in the process of changing to a new chemist that would collect, check, dispense and deliver medicines along with the appropriate documentation.
Why we inspected
We carried out an unannounced comprehensive inspection of this service on 12 November 2021, and breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve Fit and proper persons employed and Good governance.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the key questions safe and well-led which contain those requirements.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Stockdove House on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.