Paddock Stile Manor

Updated 5 March 2021

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

As part of CQC’s response to care homes with outbreaks of coronavirus, we are conducting reviews to ensure that the Infection Prevention and Control practice was safe and the service was compliant with IPC measures. This was a targeted inspection looking at the IPC practices the provider has in place.

This inspection took place on 29 January 2021 and was announced.

Updated 5 March 2021

About the service

Paddock Stile Manor is a residential care home and was providing personal care to 40 people. At the time of the inspection 28 people were living at the service.

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

The service had made improvements since the last inspection and ensured only staff with the correct level of Disclosure and Barring Service (DBS) check and appropriate training were allowed to support people at mealtimes.

People and relatives told us they were happy with the care and support received.

The provider had systems in place to make sure people lived in a safe environment. Staff had a good understanding of how to keep people safe from abuse. Safeguarding concerns and incident and accidents were checked for patterns and trends.

Staff were recruited safely and received regular training and supervisions. Health and safety checks were regularly carried out and plans were in place to support people in the event of an emergency.

Recording of medicines was not always accurate which meant it was difficult to see if people had received their medicines as prescribed.

Environmental risks were identified and mitigated. Whilst the majority of risks to people had been identified we found one serious risk to a person had not been recognised and no risk assessment or guidance had been put in place to keep the person safe. The registered manager addressed this matter immediately.

The service worked in partnership with healthcare professionals and were quick to respond to changes in people’s health.

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.

Mealtime experience varied on the two days we visited, on the first day staff were not as responsive to people’s support needs whilst on the second day staff were compassionate and attentive. The registered manager told us they would look into this matter.

Staff respected people's privacy and promoted their independence. People and their relatives were involved in discussions about their care and support.

Care plans were person-centred and clearly outlined people's support and care needs. Relatives were made welcome at the service and were encouraged to take an active part in activities.

People were supported to maintain links to their local community and to take part in various activities. The provider had a complaints procedure in place and people were aware of how to make a complaint.

Feedback was regularly gathered from people, relatives and staff. The provider had a range of quality systems in place to monitor the service and drive improvement.

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

Rating at last inspection (and update)

The last rating for this service was requires improvement (Published 2 July 2018) and there were two breaches of regulation. The provider completed an action plan after the last inspection to show how and by when they would improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

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.