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Inspection Summary


Overall summary & rating

Good

Updated 3 May 2018

This inspection took place on 19 and 20 February 2018 and was unannounced.

Stamford Care Home is a care home providing 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.

Stamford Care Home is registered to provide nursing care and accommodation for a maximum of 90 adults, some of whom may have dementia. There are 27 bedrooms on the ground floor (Oakwood Unit); 30 bedrooms on the first floor (Broomfield Unit); and 33 bedrooms on the second floor (Woodside Unit), which is dedicated to people living with dementia. At this inspection there were 82 people living in the home.

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.

At our previous inspection of this service on 1, 2 and 3 February 2017, the provider was in breach of Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. This regulation relates to the safe management of medicines. Due to the seriousness of the concerns found we issued a warning notice to the provider and registered manager on 14 February 2017, requiring compliance with the Regulation by 1 March 2017. On 4 April 2017, we carried out a focused inspection to check if the provider had made the necessary improvements to how the service ensured medicines were safely managed. We found that the provider had made significant improvements. However we identified some areas for further improvement. At this inspection, we found that medicines were safely managed and improvements made following the February 2017 inspection had been embedded and sustained.

This service is now rated as Good.

Accidents and incidents were appropriately recorded and investigated, and risk assessments were in place for people who used the service that described potential risks and the safeguards in place to mitigate these risks.

People's needs had been assessed and personalised care plans developed. Care plans were evaluated to check they reflected people's needs.

There were sufficient numbers of staff on duty in order to meet the needs of people who used the service. The provider had an effective recruitment and selection procedure in place and carried out relevant vetting checks when they employed staff.

People received a nutritious diet and enough to eat and drink to meet their individual needs. Timely action was taken by staff when they were concerned about people's health. Referrals had been made to other healthcare professionals to ensure people's health was maintained.

Staff training, supervisions and appraisals were monitored and updated regularly. Systems had been implemented to ensure oversight of when staff training, supervisions and appraisals were due.

People and relatives were positive about the service and the staff who supported them. People told us they liked the staff that supported them and that they were treated with dignity and kindness.

People told us they felt safe living at Stamford Care Home. Staff understood the importance of safeguarding and the service had systems to help protect people from abuse.

The service was clean throughout and there were hygiene controls in place to ensure that the kitchens were kept clean and food was safely stored. Utilities such as electricity and gas and health and safety checks were undertaken regularly and records kept.

A complaints procedure was in place which was displayed for people and relatives. Staff, residents and relatives meetings were held regularly and surveys were completed by people and relatives.

People, relatives and staff spoke positively of the ma

Inspection areas

Safe

Good

Updated 3 May 2018

The service was safe. Improvements made to how medicines were managed had been embedded and sustained.

Risk assessments in place identified and provided guidance to staff on people's risks and how to reduce and/or mitigate identified risks.

Appropriate staffing levels were observed throughout the inspection. Staff were safely recruited.

Accidents and incidents were recorded, investigated and analysed to ensure lessons were learnt to prevent any further reoccurrences.

Effective

Good

Updated 3 May 2018

The service was effective. Care staff were regularly supported in their role through training, supervisions and appraisals.

Care staff understood and provided care and support according to the key principles of the MCA.

People were provided with sufficient food and drink and were supported to eat and drink where required.

Care plans were developed in partnership with people, relatives and healthcare professionals.

Caring

Good

Updated 3 May 2018

The service was caring. People had developed caring relationships with certain care staff.

People were treated with dignity and respect.

Care staff knew people well and had a good knowledge and understanding of their needs, wishes and choices.

Responsive

Good

Updated 3 May 2018

The service was responsive. Care plans were person centred.

People had access to a variety of activities.

The home had a complaints policy in place; complaints were investigated and responded to. People and relatives knew how to complain if they needed to.

Well-led

Good

Updated 3 May 2018

The service was well-led. People, relatives and staff spoke positively of the management structure in place at the home.

Quality assurance measures were in place with regular audits carried out by the registered manager, deputy manager and provider.

Systems were in place to support people, relatives and staff to provide feedback and improvements were made following analysis of the feedback received.