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Inspection Summary


Overall summary & rating

Good

Updated 28 July 2017

The last inspection was undertaken on 19 and 20 January 2017 and three breaches of regulatory requirements were made in relation to Regulation 9, Regulation 11 and Regulation 18 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. Additionally, as a result of our concerns the Care Quality Commission took action in response to our findings by issuing warning notices in relation to Regulation 12, Regulation 13 and Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

We asked the provider to send us an action plan which outlined the actions they would take to make the necessary improvements. The provider shared with us their action plan and this provided detail on their progress to meet the required improvements. At this inspection we found that these improvements had been made.

Stambridge Meadows provides accommodation and personal care for up to 49 older people. Some people also have dementia related needs.

This inspection was completed on 5 and 6 July 2017 and there were 33 people living at the service when we inspected.

A registered manager was in post. A registered manager is a person who has registered with the Care Quality Commission 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.

People told us the service was a safe place to live and there were sufficient staff available to meet their care and support needs. Appropriate arrangements were in place to recruit staff safely so as to ensure they were the right people. Staff were able to demonstrate a good understanding and knowledge of people’s specific support needs, so as to ensure theirs’ and others’ safety.

Medicines were safely stored, recorded and administered in line with current guidance to ensure people received their prescribed medicines to meet their needs. This meant that people received their prescribed medicines as they should and in a safe way.

Staff understood the risks and signs of potential abuse and the relevant safeguarding processes to follow. Risks to people’s health and wellbeing were appropriately assessed, managed and reviewed to ensure their safety.

Staff received opportunities for training and this ensured that staff employed at the service had the right skills and competencies to meet people’s needs. Staff felt supported and received appropriate formal supervision at regular intervals. Staff demonstrated a good understanding and awareness of how to treat people with respect and dignity.

The dining experience for people was positive and people were very complimentary about the quality of meals provided. Where people were at risk of poor nutrition or hydration, this was monitored and appropriate healthcare professionals sought for advice and interventions.

Where people lacked capacity to make day-to-day decisions about their care and support, we saw that decisions had been made in their best interests. The registered manager was working with the local authority to make sure people’s legal rights were being protected. People who used the service and their relatives were involved in making decisions about their care and support.

Care plans accurately reflected people’s care and support needs and people received appropriate support to have their social care needs met. People told us that their healthcare needs were well managed. Staff were friendly, kind and caring towards the people they supported and care provided met people’s individual care and support needs.

People and their relatives told us that if they had any concern they would discuss these with the management team or staff on duty. People were confident that their complaints or concerns were listened to, taken seriously and acted upon.

There was an effective system in place to regularly assess and

Inspection areas

Safe

Good

Updated 28 July 2017

The service was safe.

The provider had appropriate systems in place to ensure that people living at the service were safeguarded from potential abuse and the risk of harm.

Suitable arrangements were evident for managing and reviewing risks to people’s safety and wellbeing. Where risks were highlighted or brought to the registered manager’s attention, immediate action was taken to address these.

The deployment of staff was suitable to meet people’s care and support needs.

The provider’s arrangements to manage people’s medicines were suitable and ensured people received their prescribed medication as they should.

Suitable procedures were in place to recruit staff safely.

Effective

Good

Updated 28 July 2017

The service was effective.

Staff received a range of training so as to meet people’s care and support needs. Staff felt supported and staff had received regular supervision and an annual appraisal of their overall performance.

The service was compliant with legislation around the Mental Capacity Act [2005] and the Deprivation of Liberty Safeguards [DoLS].

The dining experience for people was positive and people were supported to have adequate food and drinks throughout the day.

People’s healthcare needs were met and people were supported to have access to a variety of healthcare professionals and services as required.

Caring

Good

Updated 28 July 2017

The service was caring.

People and their relatives were positive about the care and support provided at the service by staff. We observed that staff were friendly, kind and caring towards the people they supported.

Staff interactions were person centred and not task and routine led.

Staff demonstrated a good understanding and awareness of how to treat people with respect and dignity.

Responsive

Good

Updated 28 July 2017

The service was responsive.

Care plans were personalised and recorded their care and support needs and how these were to be delivered by staff. There were varied social activities available to support people’s social care needs.

Complaints and concerns were logged, acted upon and responded to in a timely manner.

Well-led

Good

Updated 28 July 2017

The service was well-led.

The management team of the service were clear about their roles, responsibility and accountability and we found that staff were supported by the registered manager and other members of the management team.

Appropriate arrangements were in place to ensure that the service was well-run. Suitable quality assurance measures were in place to enable the provider, registered manager and management team to monitor the service provided and to act where improvements were required.