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Stratton Court Requires improvement

We are carrying out a review of quality at Stratton Court. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Requires improvement

Updated 27 April 2021

About the service

Stratton Court is a residential care home providing personal and nursing care to people aged 65 and over. At the time of the inspection 30 people, some who lived with dementia, were receiving support. The service can support up to 60 people.

The care home accommodates people in one adapted building and at the time of the inspection people lived on two of the three care floors. People’s accommodation comprised of single bedrooms with ensuite toilet and washing facilities. Each care floor provided a lounge, dining room and communal toilets. A courtyard garden provided safe outside space for people to use.

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

Improvements to the provider’s overall quality monitoring system had led to improved standards of care since the last inspection. However, further improvement was needed to ensure the provider’s quality monitoring system was effective in identifying shortfalls, in practice and process, so that people were fully protected, and ongoing improvements could be made.

We identified that arrangements were not fully in place to safely support people who could become anxious and exhibit behaviour of concern, originating from their dementia or mental health condition. A recognised pathway, underpinned by evidence based best practice, had been adopted by the service, but was not always followed. Action had not been taken to ensure staff had access to robust behaviour support plans which provided them with the guidance they needed to effectively and safely support people when incidents between them occurred. We made a recommendation to support the development of good practice in this area.

We identified that risk assessments needed to be developed for people who were prescribed anticoagulants and who would not be able to self-isolate successfully in a COVID-19 outbreak or if they tested COVID-19 positive. The service’s monitoring systems had not fully identified that prompt action had not been taken in relation to a medicine error and had not identified that national guidance related to COVID-19 staff testing had altered so had not taken action to address this. Managers took immediate action to address these shortfalls once we made them aware of them.

People had benefited from improved processes for monitoring their health needs. A new care records system had also supported improvement in care record content and how staff accessed information about people’s needs to guide them in how to meet these needs. This was except for people’s behaviour needs. People’s care records had improved overall, and improvements had also been made to how staff received information and guidance about people’s needs. This had included improvements in the recording of consent for care and treatment. These improvements had led to improved standards of care and outcomes for people. A new care records and care monitoring system had been introduced, enabling staff to access electronic guidance about people’s care quickly. People had already benefited from this as staff recorded the care they delivered, in real-time, which was then monitored by senior care staff. Work was in progress to transfer people’s more detailed care plans from paper format to the new system.

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.

Access to health reviews by healthcare professionals, had been maintained during the COVID-19 pandemic and the service was part of a pilot, which would see further improvement to people’s access to virtual health consultations.

Stratton Court had successfully worked with commissioners, healthcare professionals and other agencies to provide access to care and support for people who required this during the pandemic.

Leadership for staff had improved. Senior staff were empowered to support

Inspection areas

Safe

Requires improvement

Updated 27 April 2021

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 27 April 2021

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 27 April 2021

Responsive

Good

Updated 27 April 2021

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 27 April 2021

The service was not always well-led.

Details are in our well-Led findings below.