Background to this inspection
Updated
3 April 2020
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
One inspector carried out the inspection.
Service and service type
Stoneybeck is a ‘care home’. 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.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced on the first day.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. This included details about incidents the provider must notify us about, such as abuse or when a person injures themselves. We contacted relevant agencies such as the local authority and local Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used all this information to plan our inspection.
We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.
During the inspection
We spoke or spent time with all seven people who used the service. We spoke with four members of staff, the maintenance person, the registered manager, the provider and the area manager.
We reviewed three people's care records, two people’s medicines records, policies and procedures, records relating to the management of the service, including recruitment records, accident and incident records and training records.
After the inspection
We spoke by telephone to one relative to gain their feedback on the service.
Updated
3 April 2020
About the service
Stoneybeck is registered to provide accommodation and personal care for up to seven people with a learning disability and or autistic spectrum disorder. At the time of our inspection there were seven people using the service. Stoneybeck accommodates people across two separate houses, each of which has separate facilities.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that was appropriate and inclusive for them.
The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
People’s experience of using this service and what we found
People received safe care and the service made sure risks to people’s health and safety were managed well. A relative said the service was safe and people received the support they needed. Staff knew their responsibilities in relation to keeping people safe from the risk of abuse. There were enough staff available to meet the diverse and individual needs of people. Staff were recruited safely. Medicines were managed so people received their medicines as prescribed.
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. Staff demonstrated a commitment to protecting people's rights in relation to equality and diversity. Staff understood the ways people communicated their wishes and preferences. People received a balanced diet and the staff monitored people’s nutritional health. Staff received training and support to ensure they had the skills and knowledge to meet people’s needs.
People received personalised and responsive care from kind and caring staff. Staff respected people’s privacy and dignity and knew how people preferred their care and support. People’s independence was promoted and encouraged by the staff team.
People were happy with the range of social activities and events available to them. The service actively encouraged people to enjoy a fulfilled life. People had up to date support plans, which clearly set out how staff should meet their care and support needs. The provider had a complaints procedure and systems in place to deal with complaints effectively.
The service was well led by a registered manager and provider who led by example and had embedded a positive culture. Staff enjoyed their work and felt well managed and supported. Quality assurance systems were effective to identify and address any areas that needed improvement. The registered manager was aware of their responsibility to report events that occurred within the service to the Care Quality Commission (CQC) and external agencies.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection The last rating for this service was good (published 27 July 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.