Stainton Lodge Care Centre

Updated 26 May 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

The inspection was carried out by an inspector, a medicines inspector and 2 Experts by Experience. 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

Stainton Lodge Care centre 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. Stainton Lodge 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 not a registered manager in post. The manager had applied to be registered with the Commission and this process was ongoing.

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 8 people who used the service and 8 relatives about their experience of the care provided. We spoke with 13 members of staff including the manager, quality leads, nurses, care workers and domestic staff.

We reviewed a range of records. This included 5 people’s care records. We looked at the governance arrangements for the safe handling of medicines including the providers policy and audits. We looked at medicine’s records and associated care plans for 20 people. We looked at 3 staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

Updated 26 May 2023

About the service

Stainton Lodge is a residential care home providing personal and nursing care to up to 73 people. The service provides support to people across 2 floors. The ground floor specialises in providing support to people with a mental health condition. The first floor accommodates older people and people living with dementia. At the time of our inspection there were 55 people using the service.

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

We received mixed feedback on the quality of food and at mealtimes we observed areas where improvements could be made. We have made a recommendation about this.

People told us they felt safe. Medicines were managed safely. Significant improvements in all aspects of medicines handling had been made since our last inspection. Risks to people were appropriately assessed and managed. Detailed guidance was available for staff to help them reduce risk to people. There were enough staff to keep people safe and staff were recruited

safely. The home was clean and tidy and robust infection control procedures were in place.

People's needs and preferences, including their cultural, religious and ethical requirements were assessed and catered for. Staff received appropriate training and supervision to ensure they were competent in their roles. Staff worked well with other agencies and healthcare professionals and made timely referrals when needed. The service was designed and decorated in a way which met people's needs.

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.

Regular quality assurance audits were carried out and there had been a significant improvement in management oversight since our last inspection. The provider and manager were committed to

continuous improvement. Lessons learnt were shared with staff. The atmosphere was warm and inviting and there was a person-centred culture.

The new manager had introduced regular meetings for people who used the service, relatives and staff and feedback was also welcomed as part of the manager’s open-door policy. People who use the service, relatives and staff gave positive feedback about the new manager and the positive changes that had already been made.

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 (24 August 2022). 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

We carried out an unannounced inspection of this service on 29 June 2022. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment, good governance and staffing.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe, Effective and Well-led which contain those requirements.

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 changed from requires improvement to good. This is based on the findings at this inspection.

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.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Stainton Lodge Care Centre 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.