Stanfield Nursing Home Limited

Updated 15 June 2019

The inspection: We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked 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.

Inspection team: There was one inspector in the inspection team and one 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: Stanfield Nursing Home is a care home. People in care homes receive accommodation and nursing or personal care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection: This inspection was unannounced.

What we did: We reviewed information we had received about the service since the last inspection. This included details about incidents the provider must notify us about, such as abuse; and we sought feedback from the local authority and other professionals who work with the service. We assessed the information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.

During the inspection, we spoke with four people who used the service and seven relatives to ask about their experience of the care provided. We also observed how people interacted with staff.

We spoke with the manager, the home administrator, a team leader, a member of the care staff, an activities co-ordinator as well a visiting health professional. We also spoke with the registered provider as well as one of the Directors of the business.

We reviewed a range of records. These included three people's care records and together with their medication records. We also reviewed people’s records of their background/history.

We also looked at records relating to the management of the home. For example, systems for managing any complaints, checks undertaken on the health and safety of the home, surveys completed by people and compliments received.

Updated 15 June 2019

About the service: This service is registered to provide nursing care and accommodation for up to 41 people. At the time of the inspection, 40 people were using the service. This included people who were living with dementia.

What life is like for people using this service:

• People received exceptional, person-centred care from the onset. Their wishes were understood through numerous pre-admission visits. Close relationships between people, staff and families had developed. Family members told us the care their relatives received was exceptional and had far exceeded their expectations.

• People were fully in charge of planning and refining their care. This was high quality, bespoke and flexible around their changing needs and preferences. People received highly individualised care and were supported by numbers of staff which exceeded their assessed needs.

• Careful attention was paid to people’s spiritual and cultural beliefs so that their lifelong practices were respected and adhered to in the manner they were accustomed to.

The registered provider worked passionately with stakeholders and embedded best practice and excellence in End of Life Care. Staff understood and respected the importance of delivering care in the way people planned at the end of their lives.

• Strong relationships with the GP, university and end of life working groups ensured care was based on best practice and embedded within the home. The provider ensured staff had bespoke training to meet people's specific needs.

The registered provider and manager led by example and used all opportunities to drive continuous improvement at the home. People were at the heart of the service. People, staff, relatives and health professionals were fully involved in developing the service to ensure high quality care. They felt their views were important to the leadership team and that their opinions were listened to and acted upon. Leadership values were inclusive and set high professional standards for staff to adhere to. All staff were valued by the registered provider. Staff were motivated and spoke with pride about working at the home. They felt valued by the processes in place to support them.

• Systems were in place to take any learning from any complaints made.

• Staff understood how to keep people safe. Staff knew how to recognise and report abuse.

• Staff recognised the risks to people's health, safety and well-being and how to support them.

• Staff recruitment processes included a check of their background to review staff suitability to work at the home.

• People received support with the medicines from nurses at the home and regular checks were in place.

• The home was clean and staff took pride in maintaining the home’s appearance.

• Guidance on people's needs was shared through supervision and staff meetings.

• People were offered numerous choices at mealtimes. People’s whose nutrition was a concern were supported through innovative and original ways to improve their wellbeing.

• People’s access to healthcare appointments and advice from healthcare professionals was planned and reviewed with exceptional diligence so people’s health care needs were met and anxiety was minimised.

• People were treated with dignity and respect and their independence was promoted.

• People and their families were involved in planning their care with support from staff.

• Staff enjoyed working at the home and received advice and guidance from the registered manager.

• We found the service met the characteristics of “Outstanding” rating overall;

Rating at last inspection: Good. The last report for Stanfield Nursing Home was published on 20 January 2016.

Why we inspected: This was a planned inspection based on the rating at the last inspection. The service had improved from Good to Outstanding.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit in line with our inspection programme. If concerning information is received, we may inspect sooner.

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