You are here

Inspection Summary


Overall summary & rating

Good

Updated 6 December 2017

This inspection site visit took place on 9 November 2017 and was unannounced.

Druid Stoke is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The home is run from two buildings located next to each other. One building provides nursing care and the other provides residential support.

There was a registered manager for the service .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.

Following the last inspection in October 2016, we asked the provider to complete an action plan to show what they would do to improve the outcomes in safety, effectiveness and being well led to at least good. We found that the provider had taken action in these areas and met the requirements of the action plan.

Where people had the capacity they were now well supported in making decisions about how they wanted to being cared for. There were now effective systems in place that helped ensure staff obtain consent to care and treatment in line with legislation and guidance. When people did not have the capacity to consent, their care needs were assessed in line with the Mental Capacity Act 2005 (MCA). Staff had completed MCA and knew about supporting people to have the right to make decisions in their daily life as well as to take risks. Staff also knew how to act in someone’s best interests.

Staff recruitment procedures had been ‘tightened up ‘and improved. There were systems in place to reduce the likelihood of unsafe and unsuitable staff being taken on at the home.

There were now effective quality checking systems being used to monitor the service and overall experiences for people who lived at the home. This helped ensure people always received care that was personalised to their needs. Quality audits now picked up where improvements were needed and actions were then implemented to address the areas concerned.

People told us they that they felt safe and secure at the home and they confirmed for us that staff were kind and treated them in a respectful way. When risks to people were identified suitable actions were implemented to reduce the risks of people being harmed in anyway. The risks of abuse to people were further minimised as staff were competent in their understanding of abuse and how to keep people safe. The team were trained to know how to report concerns without delay.

Staff provided people with care that was safe as there were enough suitably qualified staff. Some people told us they felt at times there should be more staff on duty. Some people said staff sometimes seemed rushed and did not have as long to talk with them as they would like. Overall our evidence showed that the numbers and skill mix of staff deployed at any time of the day or night meant peoples’ needs were met in a timely manner.

People told us how much they liked the programme of regular one to one and group activities taking place in the home. Some people on the nursing side of the home felt that they would like more entertainers to perform there and, more one to one time with the activities coordinator The registered manager had identified this feedback already from their own consultations with people at the home . They were taking actions to review the activities that took place for people who lived on the nursing side of the home.

People were provided with a varied diet that suited their needs. People spoke highly of the menus and told us that they liked the food and also that they were offered choices at each mealtime.

People who lived at the home and the staff had built up p

Inspection areas

Safe

Good

Updated 6 December 2017

The service was safe

Medicines were stored and managed safely. People were given the medicines they needed safely and when they were required.

People felt safe living at Druid Stoke and they also felt safe with the staff who provided them their care and support.

Staff knew their responsibilities in relation to safeguarding people from harm and abuse.

Effective

Good

Updated 6 December 2017

The service was effective

People were assisted by staff who knew about the Mental Capacity Act 2005 and its implications for people in a care setting '

People were supported to eat and drink enough to maintain their optimum health.When people were at risk of poor nutrition or dehydration action was taken.

People were supported with their different care needs by a team of well trained staff. The staff had the understanding and insight to to provide effective support that met the needs of the people they supported .

People were well supported to access to the services they needed for their health and well-being.Staff worked with GPs and healthcare professionals so that their health care needs were met.

Caring

Good

Updated 6 December 2017

The service remains good

Responsive

Good

Updated 6 December 2017

The service remains good

Well-led

Good

Updated 6 December 2017

The service was well led

Quality checking audits were in place that were effective. They identified any shortfalls in the service and these were acted upon .

People and staff told us they thought the home was well run and the registered manager was doing a very good job.

Staff felt there was an open culture at the home. People also felt they could raise any concerns and these would be dealt with properly