Background to this inspection
Updated
13 February 2021
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
As part of CQC’s response to the coronavirus pandemic we are looking at the preparedness of care homes in relation to infection prevention and control. This was a targeted inspection looking at the infection control and prevention measures the provider has in place.
This inspection took place on 02 February 2021 and was announced 24 hours before our visit due to lock down visiting restrictions.
Updated
13 February 2021
About the service: Stronvar rest home is a care home providing care and accommodation for up to 16 older adults who may or may not be living with Dementia. The service does not provide nursing care. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection. On the day of the inspection the registered manager informed us that 15 people were living at the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
service.
People’s experience of using this service:
The environment that people lived in was homely, warm and clean and there was a constant program of improvements. Staff were committed to providing good care.
The registered manager ensured that appropriate safety checks on equipment and the environment were in place to keep people safe.
Medicines were managed safely and staff were trained to ensure they were competent to administer them. However, as required medications were not monitored to ensure they were affective. We have made a recommendation about this.
The service was not compliant with the Mental Capacity Act, 2005 and had breached this requirement. However, immediately following the inspection took the appropriate action to become compliant with the act, and demonstrated learning.
Care staffs understanding of dementia, and mental health conditions such as anxiety and depression needed improvement. However, staff knew people very well and were responsive in how they cared for people. We made a recommendation about staff training.
A dedicated cook and assistant were available to provide a choice of nutritious home cooked meals. They had an excellent understanding of people’s preferences and dietary needs.
People's health was well managed and there were strong links with professionals to ensure that peoples health and nutritional needs were met.
Staff were caring at all levels of the organisation. They knew people well and treated them with dignity and respect.
Whilst we observed that staff provided care that was responsive, care plans needed to improve to reflect people's care needs and preferences. We have made a recommendation about this.
The service had not explored peoples end of life preferences. Whilst no one was receiving end of life care people chose to stay at the service at the end of their life. However, the registered manager was not aware of the gold standard framework of end of life care so we made a recommendation about this.
The provider was very visible and role modelled a compassionate and caring approach to people living at the service. The registered manager was also very visible, working closely with staff and having high expectations of the quality of care provided.
The registered manager had good governance processes in place to monitor the safety of the environment. Improvements were needed to demonstrate that people living at the service were involved in their care planning.
Rating at last inspection: Rated Good with requires improvement in the Effective domain. (published 6 July 2016)
Why we inspected: This was a planned inspection based on the date and the rating of the last inspection.
Follow up: We will continue to monitor all intelligence received about the service to ensure the next planned inspection is scheduled accordingly.