12 September 2022
During an inspection looking at part of the service
Standon House is a residential care home without nursing care. The home accommodates a maximum of 31 people in one adapted building. At the time of this inspection 27 people lived in home, some of whom were living with dementia. Accommodation was provided over two floors with shared communal facilities, including lounge and dining areas.
People's experience of using this service and what we found
People were not always safe as the infection prevention and control procedures were not always effectively implemented. The provider still needed to improve their systems for identifying and mitigating potential environmental issues which could put people at the risk of harm.
The provider had not developed some protocols for the administration of specific medicines. However, people received their medicines, as prescribed, by staff members who had been trained and assessed as competent.
The provider and management team needed to make further improvements in their quality assurance checks to ensure people received good care in a safe environment.
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.
The management team reviewed any incidents, accidents and near misses to identify whether any trends could be established or whether anything else could be done differently to safely support people.
People were protected from the risks of abuse and ill treatment.
People were engaged with decisions about the service they received and felt their opinions were valued by the management team.
The provider and management team had good links with the local communities within which people lived.
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 11 February 2022) and there were breaches of regulation. 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.
Why we inspected
This inspection was prompted by a review of the information we held about this service. As a result, we undertook a focused inspection to review the key questions of safe and well-led. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
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.
We have found evidence that the provider needs to make improvements. Please see the safe and well-led sections of this report.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.