Background to this inspection
Updated
18 August 2022
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
Two Inspectors and an assistant inspector carried out the inspection.
Service and service type
Stafford Lodge 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. Stafford Lodge is a care home without nursing 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 before inspection
We reviewed information we had received about the service since the last inspection. 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
We spoke with two people who used the service and four relatives about their experience of the care provided. We spoke with seven members of staff including the registered manager and area manager.
We reviewed a range of records. This included four people’s care records and four medication records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
Updated
18 August 2022
About the service
Stafford Lodge is a residential care home providing personal care to five people at the time of the inspection. The service can support up to five people.
People’s experience of using this service and what we found
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
Right Support
The service supported people to have the maximum possible choice, control and independence over their own lives.
People were supported by staff to pursue their interests, so people had a fulfilling and meaningful everyday life. Staff supported people to achieve their aspirations and goals.
The service gave people care and support in a safe, clean and well-maintained environment.
People had a choice about their living environment and were able to personalise their rooms.
Staff enabled people to access health and social care support in the community.
Staff supported people with their medicines in a way that promoted best possible health outcomes.
Staff supported people to play an active role in maintaining their own health and wellbeing.
Right Care
People received kind and compassionate care. Staff protected and respected people’s privacy and dignity. They understood and responded to their individual needs.
Staff understood how to protect people from poor care and abuse. Staff had training on how to recognise and report abuse and they knew how to apply it.
The service had enough appropriately skilled staff to meet people’s needs and keep them safe.
People could communicate with staff and understand information given to them because staff supported them consistently and understood their individual communication needs.
People’s care, treatment and support plans reflected their range of needs and this promoted their wellbeing and enjoyment of life.
People received care that supported their needs and aspirations, was focused on their quality of life, and followed best practice.
People could take part in activities and pursue interests that were tailored to them. The service gave people opportunities to try new activities that enhanced and enriched their lives.
Staff and people cooperated to assess risks people might face. Where appropriate, staff encouraged and enabled people to take positive risks.
Right culture
People led inclusive and empowered lives because of the ethos, values, attitudes and behaviours of the management and staff.
Staff knew and understood people well and were responsive, supporting their aspirations to live a quality life of their choosing.
People were supported by consistent staff who knew them well.
Staff placed people’s wishes, needs and rights at the heart of everything they did.
People and those important to them, including advocates, were involved in planning their care.
Staff evaluated the quality of support provided to people, involving the person, their families and other professionals as appropriate.
The service enabled people and those important to them to work with staff to develop the service. Staff valued and acted upon people’s views.
People’s quality of life was enhanced by the service’s culture of improvement and inclusivity.
Staff ensured risks of a closed culture were minimised so that people received support based on transparency, respect and inclusivity.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at the last inspection
The last rating for the service under the previous provider was good, published on 20 February 2020.
Why we inspected
We undertook this inspection to assess that the service is applying the principles of Right support right care right culture.
This was the first inspection for the service under the new provider (registered 01 December 2020) to rate the service.
Recommendations
We made a recommendation the provider reviews their processes to ensure people’s capacity assessments are reviewed in line with the principles of the Mental Capacity Act 2005.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.