Stapely Residential and Nursing Home

Updated 20 May 2021

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 Care Act 2014.

Inspection team

The inspection was carried out by one Inspector.

Service and service type

Stapely Residential and Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service did not have a manager registered with the Care Quality Commission. This means that the provider is legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This was an unannounced inspection.

What we did before the inspection

The provider was not asked to complete a provider information return prior to this inspection. This is information we request providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We reviewed information we had received about the service since the last inspection. We used all of this information to plan our inspection.

During the inspection

During the inspection we spoke with four people who lived at the service and three relatives about their experience of the care provided. We also spoke with three members of staff, the nominated individual and manager. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We reviewed a range of records, including care record, medicine records, staff files, a variety of records relating to the management of the service, including policies and procedures.

After the inspection

We continued to seek information from the provider to clarify further evidence reviewed.

Updated 20 May 2021

About the service

Stapeley Residential and Nursing Home is a residential care home providing personal and nursing care for up to 97 people of Jewish and non-Jewish faith. The service is provided over three large houses, all of which are connected. Two houses provided residential personal care and one house provided nursing care. At the time of this inspection 45 people were using the service.

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

Aspects of governance and oversight of the environment needed improving. The provider took immediate actions to carry out updated repairs and refurbishment.

Suitable numbers of staff were provided. The manager advised she would review how she managers and calculates staffing numbers so she can share this information with everyone at the service.

Staff were aware of the procedures to follow to prevent and control the spread of infection and received specific guidance about the COVID-19 pandemic. We signposted the manager to further guidance to ensure equipment was replaced and safely maintained. Risks associated with individual's needs were assessed and regularly reviewed with measures in place to mitigate risks.

People were happy with the care and support they received. People had access to services and facilities that met their cultural needs.

People received their medicines from trained and competent staff. People were protected from abuse and the risk of abuse. People and their family members told us that the service was safe.

Safe recruitment practices were in place to help ensure that only suitable staff were employed at the service.

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.(report published 17 Feb 2020.)

Why we inspected

This was a planned focused inspection based on the previous rating. It was undertaken in part to check whether the manager had applied for registration with CQC.

This report only covers our findings in relation to the Key Questions Safe and Well-led.

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.

The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Stapely Residential and Nursing Home on our website at www.cqc.org.uk.

The overall rating for the service has remained good. This is based on the findings at this inspection.