Stonesby Lodge

Updated 9 November 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. 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 Care Act 2014.

Inspection team

This inspection was carried out by one inspector.

Service and service type

Stonesby Lodge is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. 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

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with six people who used the service about their experience of the care provided. We spoke with the provider, the registered manager and a senior care staff. We contacted a further two staff members by telephone later the same day. We observed staff interactions and care and support provided in communal areas.

We reviewed a range of records. This included three people's care plans and records and a sample of medicine records. We looked at two staff files in relation to recruitment and supervision, staff training and other files relating to the management and monitoring of the service.

Updated 9 November 2019

About the service

Stonesby Lodge is a residential care home providing personal care to eight people living with mental health needs at the time of the inspection. The service can support up to 12 people and also accepted people who used the service for short stays. The service accommodates people in an adapted residential building.

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

People were safe from abuse and avoidable harm. There were effective safeguarding procedures in place, risks were assessed and managed appropriately and staff followed guidance. Staff knew how and who to report any concerns to. There were enough staff to support people safely. Staff were recruited safely. Accidents and incidents were recorded, and subsequent analysis took place to ensure that lessons were learnt. Systems and processes were in place to ensure people received their medicines safely and in the way that they wanted.

People's needs were assessed. Peoples' desired outcomes and wishes were recorded and included in care plans. Staff received training and demonstrated they had good knowledge and understanding of people's needs. Staff worked well with each other and communication between staff was good. People were supported to access the healthcare they needed and maintain their health and well being. Areas of the premises required further re-decoration to ensure these were consistently well maintained.

Staff understood the principles of the MCA. 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.

People felt well cared for by staff who listened to and respected them as individuals. People were involved in the development and review of their care plans to ensure the care provided met their desired outcomes. Staff supported people to achieve and maintain their independence.

Staff knew people well and were able to provide care that was responsive to people's needs. Care plans were in the process of being updated and developed to ensure these provided the detailed information and guidance that reflected the personalised care provided. People knew how to make a complaint and would feel confident doing so. People had opportunity to meet with the registered manager or provider to discuss any concerns and visitors were welcomed to the service anytime.

Staff and people told us they were able to give their views on the service. Staff told us they felt supported. The provider undertook quality assurance reviews to measure and monitor the standard of the service and drive improvement.

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 18 August 2018) and there were two 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 was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.