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Stonedale Lodge Care Home Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 10 October 2020

About the service

Stonedale Lodge Care Home is a residential care and nursing home in the Croxteth area of Liverpool, providing personal and nursing care to 141 people aged 65 and over at the time of the inspection. The service can support up to 180 people across six units, each specialising in either residential or nursing care for older people, including those living with dementia.

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

When we inspected Stonedale Lodge Care Home to assess the safety and quality of people’s care, we took into consideration the significant pressures the COVID-19 pandemic had put on this service in particular. We also considered what people, relatives and staff told us, as well as the information we found, regarding care provided across the six different units, to arrive at balanced and proportionate judgements for the service as whole.

It was clear that the service had had an unsettled period, with the outside pressures of the COVID-19 pandemic adding to internal difficulties. The provider had addressed this, and the service was receiving ongoing support, including from the provider’s regional team. Detailed improvement plans were in place to help achieve progress. Staff and the provider were honest that there had been improvements, but there was more work to be done, to recover and provide consistently good care for people and support for staff.

We highlighted particular areas for improvement, to achieve greater safety and consistency, and have made recommendations regarding risk management and records, staffing and quality assurance. We have also signposted the provider to resources to develop their infection prevention and control approaches, including updating audits and working closely with local specialist teams. The service had addressed the issues from the last inspection, however we found medicines were not always managed safely across the home.

However, there were also particularly positive aspects, such as continued staff dedication to people using the service during the pandemic and on balance encouraging feedback from people, relatives and staff. When people had needed to be isolated on their unit to prevent the risk from further spreading of COVID-19 infection, staff had “moved into” the unit with them. People felt safe living at Stonedale Lodge Care Home, spoke well of the staff and told us, “[The staff are] first class, I get on well with them” and “Staff are lovely, they do anything for me, I get spoilt.”

We had received some concerns from relatives prior to inspection, which the provider was addressing. However, relatives we spoke with during the inspection gave very positive feedback about the service. They felt their loved ones were safe living at Stonedale Lodge Care Home, describing it as a “home from home”, and one said, “The home was recommended to me and I have never regretted the decision. They have made everything so easy.”

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 rating following the last comprehensive inspection for this service was requires improvement (published 25 June 2019). We also published a report following a targeted inspection, which did not change the rating for the service (published 5 December 2019).

At the last comprehensive inspection, we found a breach of regulations regarding good governance. The provider completed an action plan after the last comprehensive inspection to show what they would do and by when to improve.

At this inspection we found some improvements had been made and the provider was no longer in breach of regulations; however, we made recommendations for the provider to make further improvements or maintain progress.

Why we inspected

Based on the service’s previous rating of requires improvement and the breach of regulation we found at the last inspection, we undertook a focused inspection to review the key questions of sa

Inspection areas

Safe

Requires improvement

Updated 10 October 2020

The service was not always safe.

Details are in our Safe findings below.

Effective

Requires improvement

Updated 10 October 2020

Caring

Good

Updated 10 October 2020

Responsive

Requires improvement

Updated 10 October 2020

Well-led

Requires improvement

Updated 10 October 2020

The service was not always well-led.

Details are in our Well-led findings below.