Archived: Stanwardine Grange

Stanwardine Grange is a domiciliary care agency which provides assistance with personal care to people living in their own homes. At the time of this inspection 13 people were receiving support with personal care needs. Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.

People’s experience of using this service and what we found

People felt safe with the staff who supported them. Staff understood their responsibilities in relation to protecting people from the risk of harm. Where risks to people had been identified, assessments were in place to manage and mitigate these. People received their medicines when they needed them. People were supported by adequate numbers of staff who were safe and competent to work with them. People were protected from the risks associated with the control and spread of infection.

People were supported by staff who were well trained and competent in their role. People were assessed before they used the service to ensure their needs and preferences could be met. Staff understood the importance of ensuring people's rights were understood and protected. 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's health care and nutritional needs were monitored and understood by staff.

People and their relatives told us staff were kind and compassionate. People were treated with respect and their right to privacy was understood and respected by staff. People were fully involved in decisions about the care they received.

People received a service which met their needs and preferences. People’s communication needs were assessed and understood by staff. People were provided with information in a format which met their needs. People felt confident that any concerns would be taken seriously, and action would be taken to address them. People could be confident their wishes during their final days and following death were understood and respected by staff.

The service was effectively managed by a team who were committed to providing a high standard of person-centred care. The provider promoted an open and honest ethos and learned from mistakes. Staff were motivated and well trained and there were effective systems to ensure staff remained competent in their role. People’s views about the service were valued and there were effective procedures in place to continually monitor and improve the quality of service people received.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The service was rated good at our last inspection (report published April 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.

Penny Emberton / Gemini Care - Stanwardine Grange provides personal care and support to people living in their own homes. At this inspection they were providing personal care for nine people.

The registered provider was present at this inspection. 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 provider was supported day to day by a manager and a deputy manager.

People were safe from the risks of abuse as staff had been trained and knew how to recognise and respond to signs of abuse or ill-treatment. People were involved in their individual assessments of risk associated with their care. Staff knew what actions to take in order to minimise the potential for harm to people. The provider followed safe recruitment practices with staff members before they started working with people. The provider had systems in place to address any unsafe staff practice including retraining and disciplinary processes if needed.

People were supported at times that suited their individual preferences. Staff were punctual and arrived at times agreed with people. People received help with their medicines from staff who were trained to safely support them.

People received care and support from staff members who had the skills and knowledge to meet their individual needs. New staff members received an induction to their role and were equipped with the skills they needed to work with people. Staff attended training that was relevant to the people they supported and any additional training needed to meet people’s requirements was provided.

People’s rights were maintained by staff members who were aware of current guidance and legislation informing their work. People were involved in decisions about their care and had information they needed in a way they understood.

People’s privacy and dignity was promoted by staff members who supported them. People were supported to access healthcare when they needed. Any changes to people’s needs were responded to promptly by staff members. People received support and guidance to eat and drink sufficient amounts to maintain good health.

People had positive relationships with the staff members who supported them. People’s likes and dislikes were known by staff who assisted them in a way which was personal to them. People were confident that information personal to them was kept confidential and only shared with their permission.

Staff members were supported by a management team who they found approachable and who valued their thoughts and opinions. The provider and management team undertook regular quality checks in order to drive improvements. The provider engaged people and their families and encouraged feedback. People felt confident they were listened to and their views were valued.