Background to this inspection
Updated
17 May 2017
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 registered 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.
This unannounced inspection was carried out by an adult social care inspector and took place on 6 April 2017.
Before the inspection we reviewed the information we held about the service. This included statutory notifications about incidents and events affecting people using the service and a Provider Information Return (PIR) the registered manager completed and sent to us. The PIR is a form that asks them to give some key information about the service, what the service does well and improvements they plan to make.
Prior to the inspection, we spoke with the local safeguarding team and the local authority contracts and commissioning team regarding their views of the service. There were no concerns from any of these agencies. We also spoke with health care professionals during and following the inspection.
During our inspection visit we observed how staff interacted with people who used the service and their relatives. We spoke with two people who used the service and two relatives. We also spoke with the registered manager, deputy manager, a team leader and a care worker.
We looked at three care files which belonged to people who used the service. We also looked at other important documentation such as accidents and incidents and the medication administration records for four people. We checked how the service followed the Mental Capacity Act 2005 to ensure that when people were assessed as lacking capacity to make their own decisions, best interest meetings were held in order to make important decisions on their behalf.
We also looked at a selection of documentation relating to the management and running of the service. These records included three staff recruitment files, the training record, the staff rota, supervision logs, minutes of meetings with staff, relatives and people who used the service, quality assurance audits, complaints management and maintenance of equipment records. We conducted a tour of the service.
Updated
17 May 2017
Stanage Lodge is registered to provide accommodation and personal care for 17 older people, some of whom may be living with dementia. The home is a purpose built, detached property situated in the western side of Grimsby. On the day of the inspection there were four people using the service.
We undertook this comprehensive unannounced inspection on the 6 April 2017. The service was registered on the 12 April 2016 and this was the first inspection. The service opened in June 2016.
The service had a registered manager in post. 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.
People told us they felt safe living in the service. Staff showed a good knowledge of safeguarding procedures and were clear about the actions they would take to protect people. People’s medicines were stored safely and administered as prescribed.
There were enough staff on duty to provide people with the support they needed and pre-employment checks had been carried out before new staff were appointed.
Staff were trained and supported to understand people’s needs and provide their care in the right way. Staff told us they felt supported by the registered manager and confirmed they had received formal supervision from their line manager and regular staff meetings were arranged.
We found staff ensured they gained consent from people prior to completing care tasks. They worked within mental capacity legislation when people were assessed as not having capacity to make their own decisions.
People received a well-balanced diet that offered variety and choice. People liked the meals provided to them and their nutritional needs were met. Staff worked closely with health and social care professionals to ensure people received effective care.
People were treated with respect, kindness and understanding. Staff demonstrated a good knowledge of the people they cared for, their preferences and abilities. People told us staff were friendly, caring and had time to sit and talk to them. We observed staff had developed good relationships with people who used the service and their relatives.
People’s privacy and dignity was respected by staff who encouraged people to be independent and make choices and decisions in their daily lives.
Care plans recorded people’s needs and preferences and staff followed this information when providing support. People who became anxious were provided with individual reassurance and support.
We saw people were encouraged to engage in a range of meaningful activities and to maintain their independence where possible. Relatives told us they could visit at any time and staff welcomed them.
The service was run in an open and inclusive manner. There were systems in place to monitor and improve the quality of the services people received. People who used and visited the service were supported to share their opinion of the service provided.
No complaints had been made to the registered manager or registered provider. People we spoke with knew how to raise concerns and told us they would be confident to do so.