• Care Home
  • Care home

Archived: Stuart House

Overall: Requires improvement read more about inspection ratings

149 London Road, St Albans, Hertfordshire, AL1 1TA (01727) 858200

Provided and run by:
P C Presence and F Presence

All Inspections

9 July 2015

During a routine inspection

This inspection was carried out on 9 July 2015 and was unannounced.

Stuart House provides accommodation and personal care for up to 38 older people. There were 30 people living at the home at the time of our inspection. There was a registered manager in post. 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 and associated Regulations about how the service is run.

When we last inspected the service on 18 November 2013 we found them to be meeting the required standards. At this inspection we found that they were not meeting all of the fundamental standards and were in breach of regulations 12 of the Health and Social Care Act (Regulated Activities) 2014

Care Quality Commission (CQC) is required to monitor the operation of the Mental Capacity Act (2005) (MCA) and Deprivation of Liberty Safeguards (DoLS) and to report on what we find. DoLS are put in place to protect people where they do not have capacity to make decisions and where it is considered necessary to restrict their freedom in some way, usually to protect themselves or others. At this inspection we found that the home worked in accordance with current legislation but there were some areas that required improvement.

People received care that met their needs and they were positive about the staff that supported them. However, we found that care plans, which included people’s risk assessments, were not always up to date or robustly assessed.

Staff knew people well and were attentive to the needs. There were effective relationships between people and the staff who supported them.

People were supported to eat and drink sufficient amounts and had regular access to health care professionals. However, medicines were not managed safely and further training for staff was needed in some subjects.

People, their relatives and staff were positive about the management team. However, systems to monitor the quality of the service and address issues needed improvement.

18 November 2013

During a routine inspection

We inspected Stuart House on 18th November 2013, we found the house to be clean and well presented. When entering the home we were greeted by care staff and found some people who used the service seated within the communal lounge. Some people had chosen to remain in their rooms. We saw that people were free to move about as they pleased and that some people were preparing to participate in activities that the home had arranged. People who used the service approached us as we were shown around wanting to express their views about the home. We were told that the home 'couldn't be better' and that people 'couldn't fault it'.

Staff we spoke with told us that the provider and staff worked hard at creating a 'home away from home' for the people who used the service.

We found that the provider had created a person centred care environment for people and that staff were aware of peoples' care needs through their care plans and by taking time to talk with the people who used the service. People were treated with dignity and respect and their consent was always obtained before any care was given to then. We found that the home had the appropriate processes in place relating to their staff and that peoples' nutritional needs were being monitored by the provider who was quick to act on any concerns they had.

13 July 2012

During a routine inspection

During our visit, on 11 May 2012, the people we spoke with were complimentary about the care and service provided. A person commented, 'Staff are very nice. They will do anything for you. I can't fault this place in any way. I am very pleased with the service.' This was echoed by another person who said, 'Care is very good. Staff are kind; they smile when they approach you; they are lovely and very patient.' Another person said, 'I receive very good care. I am satisfied with the service.'

When asked about the menu and choices, a person remarked, 'We are given choices. The food has improved. It's quite good.' Another person remarked, 'We have a choice of food. If I don't like the hot meal at lunchtime they give me something else. I like the choices given in the evening. We have jelly or yogurt; salad or different sandwiches; haddock and 2 types of soup to choose from.'

People said that various activities and entertainments had been provided but not everyone joined in. A person stated, 'There are activities, but I love reading so I tend to read in my own room.'

Several people commented that they had 'a nice bedroom' and that their room was 'very clean and pleasant'.