Stubby Leas Nursing Home

Updated 16 February 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

This inspection was carried out by one inspector and an expert by experience made calls to relatives following the inspection. 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

Stubby Leas 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. Stubby Leas 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 the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 3 people about their experience of care and 4 relatives. We observed people receiving care. We also spoke with 7 staff which included the registered manager, senior care staff, care staff and nurses. Following the inspection, we spoke with 15 relatives by telephone to gain their views on the service. We reviewed a range of records. This included 6 people's care records and multiple medication records. We looked at 3 staff files in relation to recruitment. A variety of records relating to the management of the service, including medicine audits, care plan audits and the training matrix were also reviewed.

Updated 16 February 2023

About the service

Stubby Leas is a nursing home providing personal and nursing care and treatment of disease and disorder for up to 48 people in one adapted building. The service provides support to older people, younger adults and people living with dementia. At the time of our inspection there were 40 people using the service.

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

People were kept safe from abuse as staff understood the signs to look for and any incidents were reported for investigation. Risks to people’s safety were managed by risk assessment and care plans being put in place. Staff understood how to support people to minimise risks to their safety. People received support when they needed it by enough suitably skilled staff. Staff were recruited safely.

People had their medicines as prescribed and there were systems in place to ensure medicines were always available and stored safely. People were protected from the risk of cross infection as staff understood the procedures in place for infection prevention control. Where incidents happened, people had their care plans reviewed and changed to prevent this from happening again and lessons were learned and shared with staff.

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 home provided person centred care and people felt staff understood their needs and preferences. Relatives confirmed staff ensured people received the care they needed. People and relatives felt involved in the home and peoples care. Staff told us they felt supported and we saw they worked well as a team to support people.

There were systems in place to check on the quality of the care people received. These systems were driving improvements and there was a learning culture in the home. Staff had regular training and there was a partnership approach with other agencies to developing care plans for people.

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

Rating at last inspection

The last rating for this service was good (published 29 January 2020).

Why we inspected

We received concerns in relation to staffing and risk management. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

We looked at infection prevention and control measures under the Safe key question. We look at this in all are 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.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

The overall rating for the service has remained good based on the findings of this inspection.

We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe and well led sections of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Stubby Leas Nursing Home on our website at www.cqc.org.uk.

Follow up

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