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Inspection carried out on 26 September 2017

During a routine inspection

Stanmore House is a care home registered to provide accommodation and personal care for three people with learning disabilities who may have additional mental health needs. During this inspection there were three people living in the home. The service is also registered to carry on the regulated activity personal care to people not living at Stanmore house. At the time of this inspection one person who was living in other accommodation sometimes needed support with their personal care.

At the last inspection, the service was rated Good. At this inspection we found the service remained Good.

There were policies and procedures for safeguarding people. People told us that they felt safe living in the home. Staff were knowledgeable about what action they should take if abuse was suspected. They knew how to raise any concerns about people's safety so people were protected.

Accidents and incidents had been appropriately recorded and risk assessments were in place to minimise the risk of people and staff from being harmed. Checks and tests had been carried out to make sure that the premises were safe.

People's medicines were managed and stored safely. People chose what they wanted to eat and drink and their dietary needs and preferences were supported. People’s healthcare needs were understood and met by the service.

Arrangements were in place to make sure people received the service they required from sufficient numbers of appropriately recruited and suitably trained staff. Staff received the support they needed to carry out their roles and responsibilities in providing people with the care and support that they needed.

Person centred care records ensured that the service met people’s individual needs and preferences.

People were supported to follow their own daily routines and to make day to day decisions about their lives. People decided on a daily basis what they wanted to do and staff supported them to carry out their chosen activities.

Staff understood their responsibilities in relation to the Mental Capacity Act 2005 [MCA]. 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.

People who used the service and family members were aware of how to make a complaint.

There was a management structure in the service which provided clear lines of responsibility and

accountability. Checks were carried out to monitor and improve the quality and safety of the service.

Further information is in the detailed findings below.

Inspection carried out on 10 December 2015

During a routine inspection

This unannounced inspection of Stanmore House took place on the 10 December 2015. At our last inspection on 21 January 2014 the service met the regulations inspected.

Stanmore House is registered to provide accommodation and personal care for 3 people. On the day of our inspection there were 3 people living in the home. The home supports people with learning disabilities who may have additional mental health needs. The service is also registered to carry on the regulated activity personal care to people not living at Stanmore House. At the time of our inspection the registered manager informed us that although a service of support in a range of areas was being provided to some people who were not living at Stanmore House, these people currently did not require support with personal care. The services are operated by Stanmore Care Homes Limited.

There was a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission [CQC] 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. The registered manager was not on duty during the inspection but a manager of another of the provider’s services spent time in the home and provided us with the information we required.

People were encouraged and supported to make decisions for themselves whenever possible to maintain and develop their independence. People participated in a range of activities of their choice, and were supported to learn and develop a range of skills. People were provided with the support they needed to take part in and develop social interests, and maintain links with their family and friends. Staff engaged with people in a friendly and respectful manner.

Arrangements were in place to keep people safe. Staff understood how to safeguard the people they supported. People’s individual needs and risks were identified and managed as part of their plan of care and support. Care plans were personalised and reflected people’s current needs, and contained the information staff needed to provide people with the care and support they wanted and required. Appropriate, up to date records were in place and kept secure.

Staff were appropriately recruited, trained and supported to provide people with individualised care and support. Staff told us they enjoyed working in the home and received the support they needed to carry out their roles and responsibilities.

People were supported to maintain good health and well-being. They had good access to appropriate healthcare services that monitored their health and provided support, treatment and advice when people were unwell. People were provided with a choice of food and drink which met their preferences and dietary needs.

Staff had an understanding of the systems in place to protect people who were unable to make particular decisions about their care, treatment and other aspects of their lives. Staff knew about the legal requirements of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS). There were arrangements in place to obtain, and act in accordance with the consent of people.

There was an open and inclusive culture within the home. People using the service, their relatives and staff told us they felt able to communicate their views about the service and were confident that any concerns would be addressed by management staff. There were systems in place to regularly assess, monitor and improve the quality of the services provided for people.

Inspection carried out on 21 January 2014

During a routine inspection

At the time of our inspection, this service offered residential placements to three people. We met with one person who used the service. We met with the registered manager and the deputy manager. We spoke to one commissioning care manager and two family members. We looked at the files of three people who used the service and four care workers.

We found that those who used the service were treated with respect. One family member told us "staff show great respect to my relative. They protect them when out in public."

We found that people's care needs were met. We noted that there were procedures in place to deal with emergencies. We saw that each person using the service had a care plan specific to their needs. A person who used the service told us "I really like it here - staff are cool."

We found that people who used the service were protected from the risks of abuse as robust safeguarding procedures were in place. A member of staff told us "we try very hard to help our service users be aware of abuse and remind them about how to report it."

We saw that there were effective recruitment procedures in place.

We saw that records were accurate, appropriate and securely kept.

Inspection carried out on 3 December 2012

During a routine inspection

People who use services said that they would talk to staff if they had any concerns. It was also observed that people who use services were encouraged to make choices with regards to diet and clothing. The records showed that care plans were written to reflect the specific cultural and religious needs of the people who use services.

You can see our judgements on the front page of this report

Inspection carried out on 19 May 2011

During a routine inspection

People told us that they liked living at the home most of the time. They said that they could speak with staff if they were worried about anything, and staff listened to them. People confirmed that they liked the food and were involved in choosing what they wanted to eat. People told us that they take part in activities that they enjoy, and go on outings regularly. Representatives we spoke with were very happy with the way the provider and staff were caring for and supporting their relatives. They told us that a variety of activities are arranged and that their relatives had gained in confidence and independence. They said that staff had the experience and skills to manage different behaviours in an effective and positive way, and they treat people with dignity and respect.