7 June 2022
During an inspection looking at part of the service
People's experience of using this service and what we found
Staff deployment did not consistently meet people's individual care needs. This had impacted on the length of time people had to wait for assistance. People repeatedly told us this caused them frustration and distress.
The provider’s systems and processes were not fully robust or effective in taking action to make improvements. There was no current action plan to drive forward improvements. Care documents were not accurately maintained. This raised concerns about management, leadership and oversight.
The service was not always person centred or inclusive. Social opportunities and activities including people enjoying interests, hobbies and pastimes were limited or not available. People did not feel listened to or valued. They had repeatedly raised concerns about the choice and quality of foods. Whilst the management team were addressing this, this had been ongoing for a long time with still no specific date for change.
A new manager and regional support manager had recently commenced. They showed a commitment in making improvements and developing the service and had started this work. As a result of this inspection, they took direct action in relation to documentation that needed improving to ensure people’s safety. A review of care records was ongoing.
People received their prescribed medicines safely. Medicine were stored and managed in line with best practice guidance and staff had received training and their competency assessed.
Staff had received safeguarding training and were knowledgeable about their responsibilities to protect people from avoidable harm.
The environment was clean and hygienic and infection prevention and control best practice guidance was followed.
Lessons were learnt when things went wrong, and actions were taken to reduce further risks. The provider was compliant with their duty of candour requirements.
Resident meetings had recently been reintroduced to enable people to share their views and to receive information about the service.
The service had developed positive relationships with external health and social care professionals.
For more details, please see the full report which is on the Care Quality Commission website at www.cqc.org.uk
Rating at last inspection
The last rating for the service was good (published 19 February 2020).
Why we inspected
This focused inspection was prompted by a review of the information we held about this service.
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 full report. Two breaches were identified in relation to good governance and staff deployment. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Stoneygate Ashlands on our website at www.cqc.org.uk.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.