Background to this inspection
Updated
21 June 2019
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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
The inspection team consisted of two inspectors and an expert by experience. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type:
Stainsbridge House is a care home. People in care homes receive accommodation and nursing or personal care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service did not currently have a manager registered with the Care Quality Commission. A home manager is in place and manages the day to day running of the service. The director who visits the home on a regular basis, has overall legal responsibility for how the service is run and for the quality and safety of the care provided.
Notice of inspection:
The service did not receive prior notice that this inspection would take place.
What we did:
Before the inspection, we reviewed the information we held about the service and the service provider. We observed and spent time with people to understand their experiences of the care and support they received. We spoke with 15 people living in the home and six relatives.
We looked at records, which included seven people's care and medicines records. We checked recruitment, training and supervision records for four staff. We also looked at a range of records about how the service was managed. We spoke with the home manager, director and 12 care staff.
After our site visit we contacted external health and social care professionals and relatives to obtain their views about the service.
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.