Background to this inspection
Updated
29 May 2019
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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
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 care service.
Service and service type: Stoneleigh House is a care home. People in care homes receive accommodation and nursing or personal care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.’
Notice of inspection:
The inspection was unannounced.
What we did:
We reviewed the information we held about the service. This included information received from the provider about deaths, accidents/incidents and safeguarding alerts which they are required to send us by law. 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 spoke with eight people living at the service and two relatives. We also spoke with three members of care staff, and the registered manager. As some people were unable to share their views with us, we used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care for people who are unable to speak with us.
We looked at four people’s care records as well as records relating to recruitment, complaints, accidents and incidents and quality assurance.
Updated
29 May 2019
About the service: Stoneleigh House is a residential care home that was providing personal care to 22 people who may have a learning disability at the time of the inspection.
People’s experience of using this service:
People were not consistently provided with choices. People’s dignity and privacy was not always respected.
Risks to people were not always managed in a safe way. Staff were recruited safely, although people did not always feel there were enough staff to support them in social activities. Medication was managed safely and there were effective infection control procedures in place. People were supported by staff who knew how to safeguard them from abuse.
Staff did not always receive training prior to commencing work at the home. Staff understanding of how to support people in line with the Mental Capacity Act varied. People’s dietary needs were met and people had access to healthcare services where required.
People were supported by staff who knew them well, although people felt that their social needs were not consistently met. There were systems in place to respond to any complaints made.
Systems to monitor the quality of the service had not been effective in identifying the areas for improvement found at this inspection. Records maintained about people’s needs were not always accurate. People had been given opportunity to feedback on their experience of the service.
Rating at last inspection: Good (Report published 20 June 2016)
Why we inspected: This was a planned inspection based on the rating at the last inspection.
Enforcement: We identified breaches of the Health and Social Care Act (Regulated Activities) Regulations 2014 around Dignity and Respect and governance. Details of action we have asked the provider to take can be found at the end of this report
Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk