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Inspection Summary


Overall summary & rating

Good

Updated 18 September 2019

About the service

Sandstones is a residential care home providing personal care to 35 people aged 65 and over at the time of the inspection. The home is registered for up to 35 people. Accommodation is provided in single bedrooms.

People’s experience of using this service and what we found

Without exception, everyone we spoke to talked about the outstanding care and staff at Sandstones. Everyone said they felt safe and enjoyed life in the home and had actively chosen to move there. They felt they had a sense of purpose and led active and fulfilling lives due to the environment, contact with the community and the support and approach of staff members. They felt in complete control of their care and able to contribute to the running of the home. One person summed it up by saying, “I came for a look around and just never left, best thing I ever did”.

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.

Care and support were delivered on an individual basis and the occupants of the home decided their daily routines. Care, support and activities were planned around individual likes and dislikes. People were encouraged to participate in activities which were meaningful to them for example gardening, shopping and social activities. We witnessed that several activities happened at the same time offering further choice to the activity schedule.

Professionals also spoke extremely highly of the home and how the home was able to support people to have excellent outcomes and be supported until the end of their life extremely well in an individualised way. They commented on the lovely atmosphere in the home, with people laughing and relaxed in the company of staff.

Thorough recruitment and staff induction were in place to ensure that staff were suitable to work and provide support within the home.

Staff had access to training. Champions had been identified to improve and build upon different areas of care by looking at best practice and how this could benefit people in the home.

People had access to food and snacks throughout the day, food was well presented, plentiful, varied and freshly prepared.

Healthcare records were kept to high standards and staff knowledge of individuals was extremely good. This enabled staff to recognise early changes in people and support early access to primary healthcare services. This ensured excellent continuity of care.

Relatives spoke of the exceptionally caring staff and how they went above and beyond to ensure their relatives were happy and comfortable in the home. One relative summed up many people’s comments. They said, “I am certain that my [relative] would not be here today if it was not for their excellent care”.

Any minor issues within the home were dealt with prior to becoming complaints, however everyone felt that their views were respected, and they could offer feedback on the home which would be respected and acted upon.

The home had an open door policy, it had strong links and was integrated into the local community. They hosted community events and received many visitors to the home for example two local nursery schools, therapy dogs and entertainers. The staff team strove to achieve excellence in all that they did in order that people living in the home received the best quality care.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was Good (published 21 Feb 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Good

Updated 18 September 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 18 September 2019

The service was effective.

Details are in our effective findings below.

Caring

Outstanding

Updated 18 September 2019

The service was exceptionally caring.

Details are in our caring findings below.

Responsive

Good

Updated 18 September 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 18 September 2019

The service was well-led.

Details are in our well-led findings below.