Stanbeck Residential Care Home

Updated 5 September 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 1 inspector and 1 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

Stanbeck Residential Care 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. Stanbeck Residential Care Home is a care home 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 and sought feedback from the local authority and professionals who work with the service. 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

We spoke with 9 people who used the service and 8 relatives about their experiences of the care provided. We spoke with staff including the registered manager, deputy manager, and 4 care assistants. We spoke with 2 health professionals, and 2 professionals from the local authority.

We reviewed a range of records. This included 3 people’s care plans and 3 people’s medication records. We reviewed 2 staff recruitment files and a range of records relating to the management of the service, including quality assurance checks, health and safety records, and a sample of the provider’s policies and procedures were viewed.

Updated 5 September 2023

About the service

Stanbeck Residential Care Home is a residential care home providing personal care to 11 people at the time of the inspection. The service can support up to 13 people. The service provides support to older people, people with a learning disability, and autistic people. The home is in one adapted building over 3 floors with a lift, large lounge area, and dining room.

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

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities most people take for granted. ‘Right support, right care, right culture’ is the guidance the Care Quality Commission (CQC) follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

Right Support:

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. Each person had their own private room they had decorated to their own taste. We saw staff supporting choice and control during our inspection.

Right Care:

The care was person-centred and promoted individuals' human rights. People had different interests and activities. Many people said they liked the staff and how they were being supported. Staff were able to discuss people individually and knew how to support them well.

Right Culture:

The ethos, values, culture, and attitudes of the managers and the staff were focused on supporting people to have inclusive lives. Managers and staff were complimented by relatives regarding the support they provided. Family members have told us they are happy with the support their relative receives. Staff encouraged people to be involved in activities where appropriate and where they wanted to. Staff also understood and respected when people wanted to be alone.

Systems were in place to support the safe management and administration of medicines. Staff who administered medicines had the required training and their knowledge was checked. Medicine counts matched records. There was no information on why people were taking each medicine and we have made a recommendation about this.

Risk management was effective. There were systems in place to assess risk, monitor safety, and respond to risks. Lessons were learned when things went wrong. Recent investment into fire safety had been undertaken and fire safety practices developed to ensure people were safe.

Staffing and recruitment systems ensured staff of good character were employed. Appropriate pre-employment checks had been undertaken.

People were safe and protected from abuse. There were systems in place to ensure safeguarding training was undertaken by all staff. Staff could tell us what abuse was and what they would do if they saw signs of abuse. There was a safeguarding policy in place which had been newly refreshed. People and their relatives told us they felt the service was safe.

The provider was following current guidance to keep people safe in preventing and controlling infection. There were no restrictions on visiting in line with current guidance.

Managers and staff were clear regarding their roles. The registered manager was able to demonstrate she understood the legal requirements of the regulations. People, relatives, and staff told us the registered manager was available and easy to talk to.

There was a positive culture which was person-centred and involved the people using the service and their relatives. The registered manager and deputy manager had created multiple channels for staff to communicate updates, hazards, and requests to gain quick responses and repairs.

The managers and staff worked well with other professionals. We received positive feedback from the local authority and healthcare professionals.

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 22 September 2022). 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 regulations.

At our last inspection we recommended the provider review and update their visiting policy. At this inspection we found the provider had acted and had made improvements and the visiting practices matched current guidance.

Why we inspected

We previously carried out an unannounced focused inspection of this service on 15 July 2022 and 10 August 2022. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment and good governance.

We undertook this focused inspection to check they had followed their action plan and to confirm if 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. For those key questions not inspected, we used the ratings awarded at the last comprehensive inspection to calculate the overall rating.

The overall rating for the service has changed from requires improvement to good. 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 the service can respond to COVID-19 and other infection outbreaks effectively.

We have found evidence the provider needs to make improvements. Please see the well-led section of this full report. You can see what action we have asked the provider to take at the end of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Stanbeck Residential Care Home on our website at www.cqc.org.uk.

Recommendations

One recommendation was made to the provider. This can be found in the safe section of the report.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.