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Inspection Summary


Overall summary & rating

Good

Updated 16 December 2017

Stapleton House is a care home that provides nursing and personal care to a maximum of 45 older people, including people who live with dementia or a dementia related condition. At the time of inspection there were 31 people who were using the service

At the last inspection in August 2015 we had rated the service as good. At this inspection we found the service remained good and met each of the fundamental standards we inspected.

People told us they were well looked after and they appeared content and relaxed with the staff who supported them. Relatives told us they were satisfied with the service provided by Stapleton House staff. Staff knew the people they were supporting well.

People said they felt safe and they could speak to staff as they were approachable. We have made a recommendation about staffing levels to be kept under review and that staff are appropriately deployed to ensure people’s needs are met safely. We observed activities were not always available to keep some people engaged and stimulated in some areas of the home where staff were not always available. Improvements were required to some aspects of people’s dining experience in this part of the home.

Systems were in place for people to receive their medicines in a safe way. Risk assessments accurately identified current risks to the person, as well as ways for staff to minimise or appropriately manage these risks.

Staff had received training about safeguarding and knew how to respond to any allegation of abuse. When new staff were appointed, thorough vetting checks were carried out to make sure they were suitable to work with people who needed care and support.

Appropriate training was provided and staff were supervised and supported. Staff had a good understanding of the Mental Capacity Act 2005 and best interest decision making, when people were unable to make decisions themselves. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible, the policies and systems in the service supported this practice.

Detailed records accurately reflected the care provided by staff. Care was provided with kindness and people’s privacy and dignity were respected. Communication was effective in ensuring staff and relatives were kept up to date about any changes in people’s care and support needs and the running of the service.

People had access to health care professionals to make sure they received appropriate care and treatment. Staff followed advice given by professionals to make sure people received the care they needed. People received a varied and balanced diet to meet their nutritional needs.

A complaints procedure was available. Staff and relatives said the management team were approachable. People had the opportunity to give their views about the service. There was regular consultation with people and family members and their views were used to improve the service. People had access to an advocate if required. The home had a quality assurance programme to check the quality of care provided.

Changes had been made to the environment as a programme of refurbishment was taking place. Some areas that we identified at inspection for more immediate attention were dealt with straight away. The home promoted the orientation and independence of people who lived with dementia and further work was taking place as part of the refurbishment.

Further information is in the detailed findings below.

Inspection areas

Safe

Requires improvement

Updated 16 December 2017

The service deteriorated to requires improvement.

We have made a recommendation that staffing levels are kept under review and that staff are appropriately deployed to meet people�s needs safely.

Effective

Good

Updated 16 December 2017

The service remains good.

Caring

Good

Updated 16 December 2017

The service remains good.

Responsive

Good

Updated 16 December 2017

The service remains good.

Well-led

Good

Updated 16 December 2017

The service remains good.