Stanley Park

Updated 23 June 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 1 inspector and 1 Expert 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

Stanley Park 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. Stanley Park 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.

Inspection activity started on 16 May 2023 and ended on 1 June 2023. We visited the service on 16 May 2023.

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

During the inspection we spoke with 16 people who used the service about their experience of the care provided and 8 relatives. We spoke with 12 members of staff including the registered manager, deputy manager, 1 nurse, 5 care workers including 2 senior care workers, 1 domestic member of staff and 1 maintenance person.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We reviewed a range of records. This included 4 people’s care records and multiple medicines records. We looked at 4 staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including training information and policies and procedures were reviewed.

Updated 23 June 2023

About the service

Stanley Park is a care home providing accommodation and personal and nursing care to up to 71 older people, including people who may live with dementia, or a dementia related condition. At the time of our inspection there were 61 people using the service living in one adapted building.

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

A quality assurance system was in place, but it needed to become more robust to assess the standards of care in the service. Improvements were needed to the running of the service to ensure people were the main focus of care delivery and they received person-centred care.

Care was task-centred rather than person-centred. Due to staff being busy they did not have time to spend with people. Throughout our observations some people sat silently or were not engaged or stimulated.

An infection control system was in place. However, not all areas of the home were well-maintained and there were signs of wear and tear. The provider was monitoring the use of Personal Protective Equipment (PPE) for effectiveness and people’s safely.

Records provided some guidance to assist staff to deliver care and support to meet people’s needs. We discussed care plans should be more person-centred detailing how staff were to provide care in the way the person wanted and needed support to be provided. Risks were assessed and mitigated to keep people safe. Staff recruitment was carried out safely and effectively.

Medicines were mostly managed safely. Medicines records required more information for the use of ‘when required’ medicines.

There was evidence of collaborative working and communication with other professionals to help meet people's needs.

People and relatives had opportunities to give feedback about the service.

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.

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

Enforcement and Recommendations

We have identified a breach in relation to good governance at this inspection. We have made recommendations about staffing levels and staff deployment, refurbishment of the environment and environmental design and person-centred care.

Rating at last inspection

The last rating for this service was good (published September 2017).

Why we inspected

This 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 undertook a focused inspection to review the key questions of Safe and Well-led only. 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 good to requires improvement based on the findings of this inspection.

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

Follow up

We have requested an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will continue to monitor information we receive about the service, which will help inform when we next inspect.