15 January 2019
During a routine inspection
The Staveley Centre is situated in Staveley near Chesterfield and provides accommodation and personal care for up to 32 older people, including those living with dementia. The service has 20 long-term residential care beds and four respite beds. In addition, the service has eight designated beds for intermediate and
re-ablement services. There is an on-site physiotherapist and an occupational therapist to support and aid rehabilitation following illness and hospital care, prior to being discharged home. At the time of our inspection, 28 people were using the service and three were in hospital.
What life is like for people using this service:
People continued to receive safe care. Staff had been provided with safeguarding training to enable them to recognise signs and symptoms of abuse and how to report them. There were detailed risk management plans in place to protect and promote people’s safety. Staffing numbers were sufficient to keep people safe and the registered provider followed thorough recruitment procedures to ensure staff employed were suitable for their role. People’s medicines were managed safely and in line with best practice guidelines. Systems were in place to ensure that people were protected by the prevention and control of infection. Accidents and incidents were analysed for lessons learnt and these were shared with the staff team to reduce further reoccurrence.
People’s needs and choices were assessed and their care provided in line with their preferences. Staff received an induction process when they first commenced work at the service and received on-going training to ensure they could provide care based on current practice when supporting people. People received enough to eat and drink, however they were not able to be involved in menu choices. Staff supported people to access a variety of healthcare services to meet their health and medical needs. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. The principles of the Mental Capacity Act (MCA) were followed.
People continued to receive care from staff who were kind and caring. People were encouraged to make decisions about how their care was provided and their privacy and dignity were protected and promoted. People had developed positive relationships with staff who had a good understanding of their needs and preferences.
People’s needs were assessed and planned for with the involvement of the person and/or their relative where required. Most people were able to take part in activities that met their social needs, however some people expressed dissatisfaction with the activities available and felt they were not appropriate for them. Staff promoted and respected people's cultural diversity and lifestyle choices. Care plans were personalised and provided staff with guidance about how to support people and respect their wishes. Information was made available in accessible formats to help people understand the care and support agreed.
The service continued to be well managed. People and staff were encouraged to provide feedback about the service and it was used to drive improvement. Staff felt well-supported and received supervision that gave them an opportunity to share ideas, and exchange information. Effective systems were in place to monitor and improve the quality of the service provided through a range of internal checks and audits. The registered manager was aware of their responsibility to report events that occurred within the service to the CQC and external agencies.
More information is in Detailed Findings below
Rating at last inspection: Good (report published 29 January 2016)
Why we inspected:
This was a planned inspection based on the rating at the last inspection. The service remained rated Good overall.
Follow up:
We will continue to monitor the service through the information we receive until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.