Statham Manor Care Centre

Updated 27 May 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

The inspection was undertaken by 2 inspectors, a regulatory coordinator 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

Statham Manor Care Centre 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. Statham Manor is a care home with 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 they registered with CQC. We sought feedback from the local authority and professionals who work with the service. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with the registered manager, nominated individual, trainer, 3 other members of the staff team. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We also spoke with 7 people living in the home and 4 family members, to gather their experiences.

We reviewed a range of records. This included 4 people's care records and multiple medication records. We looked at 4 staff files in relation to safe recruitment. A variety of records relating to the management of the service, including audits were also reviewed.

Updated 27 May 2023

About the service

Statham Manor Care Centre is a newly built care home providing residential and nursing care to people, some of whom lived with dementia. At the time of the inspection there were 20 people living in the home.

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

Systems were in place to monitor the quality and safety of the service. A schedule of audits had been implemented but these could be further developed to improve the effectiveness of the checks. People and their relatives told us the home was well managed and they could raise any complaints or concerns they had with the knowledge they would be listened to, and action would be taken to address the issues.

Systems were in place to manage medicines safely, but they could be improved further and we made a recommendation about this. Staff had undertaken medication training and had their competency assessed and medicines were stored securely. However, records to guide staff when to administer medicines prescribed as and when needed, required further detail.

Most risks had been assessed and were reflected within people’s plans of care. People told us they felt safe living in the home. They were supported by trained staff who had been safely recruited and there were enough staff available to support people when they needed it. Effective systems were in place to maintain the safety of the building and help minimise the spread of infections within the home. Staff were aware of their safeguarding responsibilities and how to raise any concerns.

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. However, we made a recommendation regarding the use of mental capacity assessments as they could be completed more robustly.

Records showed that people's nutritional needs and preferences were assessed, and people told us they enjoyed the meals available.

Feedback regarding the care and support people received was positive. People told us they were well cared for, and that staff were kind, caring and worked in ways that protected their privacy.

Staff encouraged people's independence where possible and systems in place supported people to be involved in decisions regarding their care. Most care plans were detailed and reflected people’s needs and preferences.

Staff were trained to support people at the end of their lives and support provided to people at those times was complimented by relatives. A range of activities were available for people to participate in, and people were supported to maintain relationships that were important to them.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk.

Rating at last inspection

This service was registered with us on 20 December 2022, and this is the first inspection.

Why we inspected

The inspection was prompted in part due to concerns received about the care and support provided to people. A decision was made for us to inspect and examine those risks. We found no evidence during this inspection that people were at risk of harm from this concern.

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.

Recommendations

We made recommendations in relation to the management of medicines and completion of mental capacity assessments.

Follow up

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