Background to this inspection
Updated
1 December 2020
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
As part of CQC’s response to care homes with outbreaks of coronavirus, we are conducting reviews to ensure that the Infection Prevention and Control practice was safe and the service was compliant with IPC measures. This was a targeted inspection looking at the IPC practices the provider has in place.
This inspection took place on 10 November 2020 and was announced.
Updated
1 December 2020
About the service
Stanbrook Care Home is a residential care home providing personal care to 25 older people; including people who may live with dementia. At the time of the inspection 22 people were being supported by the service. The accommodation is provided in one adapted building with bedrooms on the ground and first floor and a small garden area.
People’s experience of using this service and what we found
Enough improvements had been made to meet the previous breaches of regulations but there remained some areas for further improvement. Some staff were not wearing PPE in line with current guidance. Care plans to support people with distressed behaviours required more detail however, staff were aware of people’s needs and risks were monitored. People told us they felt safe and were happy with their medicine support. Staff had received safeguarding training and knew how to recognise and report any concerns. People and staff told us they were enough staff in the day, but one person and some staff felt more were needed at night.
Audits were carried out by the registered manager and the provider, but they had not identified the infection control concerns we found on inspection. There were improved systems to ensure risks to people were monitored. The provider had followed our recommendation to improve the environment and positive changes had been made. People, relatives and staff gave positive feedback about the registered manager and their views were sought and acted on.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was requires improvement (published 19 May 2020) and there were two breaches of regulation. We took account of the exceptional circumstances at the time arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe. We continued to monitor the service by contacting them on a fortnightly basis.
At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
This service has been in Special Measures since 18 May 2020. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate in any of the key questions. Therefore, this service is no longer in Special Measures.
Why we inspected
We undertook this focused inspection to check for improvements and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.
The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has remained the same 'requires improvement'. This is based on the findings at this inspection.
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 coronavirus and other infection outbreaks effectively.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Stanbrook Care Home on our website at www.cqc.org.uk.
Follow up
We will continue to monitor the service. We will work alongside the provider and local authority to monitor progress. If we receive any concerning information we may inspect sooner.