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Stadium Court Care Home Requires improvement

The provider of this service changed - see old profile

Reports


Inspection carried out on 29 August 2019

During a routine inspection

About the service

Stadium Court is a care home providing personal and nursing care to 83 people aged 65 and over at the time of inspection. The home can support up to 110 people across five separate units. At the time of inspection only three of the five units were in operation. One of the units open specialises in providing care to people living with dementia.

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

There was inconsistency across the three units, in relation to staff deployment which impacted on people’s experience of living in the home and the amount of quality time staff had to spend with people.

People’s equality and diversity was not routinely assessed or reviewed. We recommended the home reviews people’s equality and diversity needs.

People’s dining experience was not consistent across the units, we recommend that consideration be given to people’s dining experience.

Activities for people were provided, however, these were not always meaningful for people. We were assured these were currently being developed to make them more meaningful for people and would take people’s preferences into consideration. However, we did not see these plans had been made effective.

Medicines were being managed safely.

Systems were in place to ensure people were safeguarding from abuse, which included people’s risks were monitored and staff were knowledgeable in ensuring people were protected. People told us they felt safe living in the home.

People had personalised care plans in place which were reviewed and updated and included their support needs. These plans supported staff with information to supporting people in the home which detailed people’s preferences. People were supported with end of life wishes which were recorded.

People received enough food to meet their nutritional needs, however, improvements were needed to ensure people consistently had a positive experience throughout the home during meal times.

The service was in need for redecoration which had been recognised by the registered manager and the provider.

People knew how to make a complaint and complaints received were addressed in line with the providers policy.

The registered manager worked alongside the management team to continue to embed new ways of working and there were plans in place for the service to continue to develop. People and relatives spoke highly of the improvements that had been made thus far. A number of new systems to monitor and improve people’s experience of receiving care had been introduced however, although they had the potential to address the shortfalls in the home they were in there infancy and required further development.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

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 03 September 2018) and there was a breach of regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulation 12.

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor the service through the information we receive. We will return to re-inspect in line with our inspection programme for requires improvement services.

Inspection carried out on 23 July 2018

During a routine inspection

The inspection took place on 23, 24 and 25 July 2018, and was unannounced. Stadium Court Care Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Stadium Court Care Home is registered to provide personal care and accommodate up to 110 people in five adapted buildings. However, only three buildings were currently occupied. These three buildings, or ‘units’ were called Stafford, Spode and Wade. There were 77 people using the service at the time of our inspection.

There was a registered manager 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. This registered manager was only planning on being there temporarily until a permanent manager was recruited. There were also unit managers for each unit who reported to the registered manager.

This is the homes first ratings inspection since it was registered.

At this inspection we identified a breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we asked the provider to take at the back of the full version of this report.

We have made a recommendation that arrangements for staff with a positive Disclosure and Barring Service (DBS) check are reviewed to reflect current working arrangements.

We have also made a recommendation that people’s care plans contain more personalised information.

Medicines were not always being managed or stored safely. We could not always be sure that people were receiving their medicines as prescribed.

Quality assurance systems in place did not always ensure that people received a safe and effective service. However, some improvements required had been identified and an action plan was in place that was in progress. People felt able to approach the registered manager or unit managers. However, there was some confusion from people, relatives and staff about the management structure and ongoing changes. People and relatives were asked for their opinion about care but some felt that communication could be improved.

There was mixed feedback about staffing levels and work was ongoing to improve staff deployment. People told us they felt safe but risks were not always assessed, planned for and managed appropriately. People were protected from potential abuse by staff who understood their safeguarding responsibilities. People were also protected from the risk of infection as the home was clean and tidy and systems were in place for infection control. The building was appropriately maintained and plans were in place in case of emergency.

People were not always supported to maintain their dignity. However, people felt staff were kind and caring. People were encouraged to be independent and there were no restrictions on people visiting the home.

We found that some staff had not always received refresher training relevant to their role. However, the provider was in the process of addressing this, to ensure staff had the appropriate skills to meet people’s needs. People’s human rights were protected because staff were aware of the principles of the Mental Capacity Act 2005, which was adopted in their care practices. People were supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice. People were supported to have food and drinks of their choice. People had access to other health professionals to ensure their physical and mental health. The building was suitably adapted to cater for the people living