Archived: Stanton Court

Updated 29 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 is 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.

The inspection was carried out by two inspectors and an 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.

Before the inspection, the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give key information about the service, what the service does well and improvements they plan to make. We reviewed the PIR and other information we had about the service including statutory notifications. Notifications are information about specific events that the service is legally required to send us.

Some people at the home were not able to tell us about their experiences. We used a number of different methods such as undertaking observations to help us understand people’s experiences of the home. As part of our observations we used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the needs of people who could not speak with us.

During the inspection we spoke with ten people living at the home, seven relatives and ten staff members. This included the deputy manager, manager and regional managers. We spoke with one health and social care professional. We reviewed four people’s care and support records and four staff files. We also looked at records relating to the management of the service such as incident and accident records, meeting minutes, recruitment and training records, policies, audits and complaints.

Updated 29 August 2018

We undertook an unannounced inspection of Stanton Court on 17 July 2018. When the service was last inspected in June 2017 the service was rated as Requires Improvement. The service had made changes in previous areas identified. At this inspection it was rated as Good.

You can read the report from our last comprehensive inspection, by selecting the 'All reports' link for Stanton Court, on our website at www.cqc.org.uk

Stanton Court is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Stanton Court provides nursing and personal care for up to 36 older people. At the time of our inspection there were 24 people living at the service.

Stanton Court is set in a rural location in the village of Stanton Drew. The service is a grade two listed building set over three floors. A conservatory at the rear of the service overlooks the large mature garden.

A registered manager was in post at the time of the inspection. 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.

At our last inspection in June 2017 we found the service required improvement as care plans were not always person centred, pressure care was not always managed effectively and management structures had been unstable. An action plan had ensured these areas had been addressed and improvements sustained. A thorough audit system ensured the quality of care and support people received was regularly monitored and reviewed.

People enjoyed the activity provision provided by the service and the links established with the local community. People had access to safe and pleasant outdoor areas. People gave positive feedback about the food provided by the service and individual needs were catered for.

Medicines were managed and administered safely. People were supported by a consistent and motivated staff team. Staff felt valued and supported. Staff received effective induction, supervision and training to ensure they were skilled and competent in their role.

People were supported by staff who kind and caring. People had developed positive relationships with staff members. People told us there was a happy, friendly and homely atmosphere at the service. People were supported and encouraged to remain independent. Visitors were welcomed and involved in the service.

Care plans were person centred. The service was responsive to people’s care and support needs. People’s individual preferences and routines were respected. People were supported with their nutrition and hydration and healthcare needs and additional support sought when required.

Consent to care and treatment was sought in line with the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards requirements were being met. Risk assessments were in place to minimise known risks. Accidents and incidents were reported and recorded. A system ensured actions were taken and steps taken to prevent reoccurrence.

The environment and premises were regularly checked, cleaned and maintained. The service continued to refurbish and upgrade the environment and premises. New equipment had been purchased to support people’s safety and promote people’s dignity.

The service was well led and managed. People, relatives and staff were encouraged to give feedback and suggestions about the service to ensure continual improvement. The registered manager was visible and approachable. Complaints were managed effectively and people and relatives felt comfortable in raising any concerns. The provider had clear oversight of the service. Staff and management told us they were well supported by the provider.