Archived: Stinchcombe Manor

Updated 2 August 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 13 and 14 June 2018 and it was unannounced. The inspection was completed by one adult social care inspector. At the time of the inspection there were 26 people living at Stinchcombe Manor

We requested and reviewed a Provider Information Return (PIR) prior to this inspection. This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We reviewed the information we held about the service, which included notifications about important events which the service is required to send us by law. We spoke with and sought feedback from a local GP and from local authority commissioners.

We spoke with seven people who were using the service and two people’s relative. We used the Short Observational Framework for Inspection (SOFI). SOFI is a specific way of observing care to help us understand the experience of people who could not talk with us. We spoke with nine staff members; including four care staff, the chef, the deputy manager, the registered manager and two representatives of the provider. We reviewed six people's care files and associated records. We also reviewed staff training and recruitment records and records relating to the general management of the service.

Updated 2 August 2018

We inspected Stinchcombe Manor on 13 and 14 June 2018. Stinchcombe Manor is registered to provide accommodation and personal care to 26 older people and people living with dementia or with mental health needs. In August 2017, the service’s registration changed and they no longer provide nursing care.

At the time of our inspection, 26 people were living at Stinchcombe Manor. Stinchcombe Manor is based in rural Gloucestershire. The service is split over two floors with communal spaces on each floor. The service has a small secure garden, as well as larger gardens overlooking local farm land which people could enjoy. This was an unannounced inspection.

We previously inspected the home on 9 March 2017 and rated the service as “Requires Improvement”. The service had not met all of the required regulations, for example the registered manager and provider did not have effective systems to monitor the quality of the service they provided. People’s care records were not always accurate, complete and contemporaneous. The provider sent us an action plan detailing the action they were planning to take. At our June 2018 inspection we found the service had taken appropriate action to meet the regulations and was rated ‘Good’ overall.

There was a registered manager in place at Stinchcombe Manor. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People were safe living at Stinchcombe Manor. There were enough staff deployed to ensure people’s needs were being met. People received the support they required to meet their health and wellbeing needs.

People received their medicines as prescribed. The registered manager was working through an internal improvement plan detailing the actions they would take to improve the management and recording of people’s prescribed medicines.

Care staff treated people with dignity and ensured their nutritional needs were met. Catering and care staff were aware of and met people’s individual dietary needs. Staff spoke positively about the support and communication they received. Care staff felt they had all the training and support they required to meet people’s needs.

Care staff were caring and were aware of people’s health needs. People and their relatives felt their concerns and views were listened to and acted upon. Relatives told us the management team was responsive and approachable.

The registered manager and provider had implemented systems to monitor and improve the quality of service people received at Stinchcombe Manor. The registered manager had a clear vision of how they wanted the service to develop and improve, with a focus on providing people with varied and personalised activities.