16 May 2023
During an inspection looking at part of 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.