Stanwell Rest Home

Updated 22 February 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

This inspection was carried out by 2 inspectors and a medicines inspector. Contact was made with people’s relatives via telephone by an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Stanwell Rest Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. [Care home name] is a care home [with/without] nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

During the inspection we spoke to a range of staff including 2 care staff, the cook, registered manager, and a visiting care professional. We spoke with 4 people living at the home about their experience of the care provided. We completed a range of observations around the home and reviewed care records for people including 4 care plans, risk assessments and 12 medicine administration records. We reviewed a variety of records relating to the management of the service, including audits and staff recruitment files.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and a range of people’s care records. We sought feedback a professional and spoke with 10 relatives about their experience of the care provided to their loved ones and contacted 3 care staff.

Updated 22 February 2023

About the service

Stanwell Rest Home is a care home for people living with dementia, a mental health need or other needs. The service supports up to 38 people across a main building and in eight purpose built apartments. People could access multiple communal lounge areas and there is a communal garden area. At the time of the inspection there were 33 people receiving care.

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

We found improvements were required to ensure people’s medicines were stored and managed safely, and in line with manufacturers advice. Some individual risks to people were not always identified or thoroughly assessed, and records relating to people’s care was not always complete or up to date. People were supported by staff who knew them and their needs well. Staff understood how to keep people safe and raise concerns. People were able to have visitors to the service and the provider ensured infection risks to people were considered and managed in line with national guidance.

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; however, the systems in the service did not consistently ensure people’s mental capacity to consent was assessed in line with relevant legislation. People’s nutritional needs were met, and people told us they enjoyed the food on offer at the home. People could access appropriate support from staff to meet their health care needs. The provider had made improvements to the building since our last inspection and planned works were on-going to fully embed national guidance on dementia friendly premises.

Systems to assess, monitor and improve the service continued to require improvement. Records in respect of people’s care did not always reflect the care that was being provided to keep people safe. The registered manager was open to our feedback and had taken some immediate actions to address the concerns identified in the report. Staff told us they felt supported and the registered manager encouraged a positive culture within the home.

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 07 August 2019) and there were breaches of 2 regulations. 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 the provider remained in breach of 2 regulations and an additional breach of regulations was identified.

At our last inspection we recommended the provider reviewed their medicines audit systems and ensured medicines were stored in line with national guidance. At this inspection we found the provider had failed to take enough action to make the required improvements and was in breach of regulation. At our last inspection we also recommended the provider reviewed and embedded national guidance on dementia friendly premises to promote people’s independence. At this inspection we found adequate improvements had been made.

Why we inspected

This inspection was prompted by a review of the information we held about this service

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

The overall rating for the service has remained requires improvement based on the findings of this inspection. We have found evidence the provider needs to make improvements. Please see the safe, effective and well led sections of this full report. You can see what action we have asked the provider to take at the end of this full report.