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Stainsbridge House Requires improvement

Inspection Summary

Overall summary & rating

Requires improvement

Updated 21 June 2019

About the service: Stainsbridge House is a care home that was providing personal care to 34 people at the time of the inspection.

People’s experience of using this service:

Risks identified had not always been assessed. This included incidents of behaviour that could be verbally or physically challenging.

Not all medicines administered as ‘when required’ had protocols in place to give staff clear guidance. All other areas of medicine management were observed to be safe.

One staff member had not received an enhanced Disclosure and Baring check before working within the service.

People told us they felt safe. Staff understood their responsibilities around reporting concerns. Safe levels of staffing were observed.

We saw that mental capacity assessments had been completed, but more detail was needed around evidencing how the decision had been discussed with each person.

People told us they liked the food and were able to make choices about what they had to eat.

We observed staff interacting meaningfully with people. They appeared to know people well and anticipated their needs. There were many positive comments about the kindness and caring nature of the staff.

Wellbeing staff were in place to provide opportunities for meaningful engagement for people.

We identified one notification had not been submitted to the Care Quality Commission. This was notification of when a person who was being deprived of their liberty had their legal application approved.

The system for monitoring the quality of the service had improved. However, some areas of the audits needed to include further details of what needed to be checked.

More information is in Detailed Findings below.

Rating at last inspection:

Requires Improvement (report published 15 August 2018).

Why we inspected:

This was a planned inspection based on the rating at the last inspection.

Follow up:

We have told the provider they must take action to improve the service. We will continue to monitor the service and complete a further inspection to assess whether the improvements have been made.

Inspection areas


Requires improvement

Updated 21 June 2019

The service was not always safe.

Details are in our Safe findings below.



Updated 21 June 2019

The service was effective.

Details are in our Effective findings below.



Updated 21 June 2019

The service was caring.

Details are in our Caring findings below.



Updated 21 June 2019

The service was responsive.

Details are in our Responsive findings below.


Requires improvement

Updated 21 June 2019

The service was not always well-led

Details are in our Well-Led findings below.