Stennards Leisure Retirement Home (Mos)

Updated 22 December 2018

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, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 15 November 2018 and was unannounced. The inspection team consisted of one inspector and 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 service.

As part of the inspection we reviewed the information we held about the service. We looked to see if statutory notifications had been sent by the provider. A statutory notification contains information about important events which the provider is required to send to us by law. They can advise us of areas of good practice and outline improvements needed within their service. We used information the provider sent us in the Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We sought information and views from the local authority. We used this information to help us plan our inspection.

During the inspection we spoke with seven people who used the service. We spoke with the registered manager, provider representative, three care staff and the activity worker. We also spoke with two visitors and a health care professional. We used the Short Observational Framework for Inspection (SOFI). SOFI is a specific way of observing care to help us understand the experience of people who could not talk to us. We also spent time observing day to day life and the support people were offered. We reviewed records relating to people’s medicines, three people’s care records and records relating to the management of the service.

Updated 22 December 2018

At our last inspection completed in March 2016 we rated the service ‘good’. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

Stennards Leisure Retirement Home (MOS) is a ‘care home’. People in care homes receive accommodation and personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The care home accommodates up to 16 people in one building. At the time of the inspection there were 15 people living at the service.

A registered manager was in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People were supported by a staff team who understood how to protect them from abuse. Care staff managed risks to people in a positive way. Processes were in place to keep people safe in the event of an emergency such as a fire. People were protected from harm while their independence was maximised. People were supported by sufficient numbers of staff who had been recruited safely.

People received their medicines safely and as prescribed. People were protected by effective infection control procedures.

People were supported to have choice and control of their lives and staff supported them in the least restrictive way possible. People were supported to maintain good health and nutrition.

People’s relationships with staff were positive and caring. We saw that staff treated people with respect, kindness and courtesy. People were encouraged to be as independent as possible and were supported to maintain important relationships.

Care staff had been equipped with the skills they required to support people effectively. Processes were in place to respond to any issues or complaints. The registered manager had developed an open and transparent culture within the service where people were respected and everyone was free to share their views. People were fully involved in the development of the service.

A range of quality assurance and governance systems were in place and these were being developed to make further improvements. The provider engaged with the wider community and other organisations in order to drive improvements to the lives of those being supported.

Further information is in the detailed findings below.