Archived: Stacey Street Nursing Home

Updated 14 March 2019

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.

This inspection was unannounced. The inspection took place on 14 January 2019 and was carried out by one inspector.

Before the inspection we looked at any notifications that we may have received and communications such as those from the local authority safeguarding and commissioning teams as well as other health and social care professionals.

We used a few different methods to help us understand the experiences of people using the service. Some people using the service had complex needs and for some people there was limited or no ability to communicate verbally which meant that not everyone was able to tell us their views. We received a small number of comments from people using the service as some people were not able to speak with us about their experience of living at Stacey Street. For this reason, we used general observation where possible, to understand people’s experiences of using the service as people were either out of the home or otherwise engaging with staff during the day on a very regular basis. We gathered evidence of people’s experiences by talking with two people and by observing staff interactions with people. We also looked at how the service communicated with people, their families, advocates and other care professionals. We spoke with the relatives of another person using the service. We also spoke with the registered manager, the deputy manager and two members of the care staff team and the activities coordinator.

As part of this inspection we looked at five people’s care plans. We looked at the medicines management, training, appraisal and supervision records for the whole staff team. We reviewed other records such as complaints information, quality monitoring and audit information, maintenance, safety and fire records.

Updated 14 March 2019

Stacey Street provides nursing care to older adults with dementia and long term mental health difficulties. It should be noted that at the time of this inspection the service provider informed CQC of a planned programme for the closure of the home due to occur by the end of March 2019.

At our previous inspection on 4 July 2016 we found that the service was meeting the regulations we looked at and the overall rating was Good.

The inspection took place on 14 January 2019 and was unannounced. This inspection was carried out by one inspector.

At this inspection we found the service remained Good.

At the time of our inspection a registered manager was employed at the service. 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.

There were thirteen people receiving personal care at the time of our visit.

From our observations of interactions between staff and people using the service and conversations we had with some people we found that people felt safe at the service. No concerns about people’s safety had been raised since our previous inspection.

There were policies, procedures and information available in relation to the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS) to ensure that people who could not make decisions for themselves were protected. Records showed that the service was applying these safeguards appropriately and making the necessary applications for authorisations to deprive people of their liberty, as required.

On the day of the inspection we found suitable numbers of staff were available to meet people’s needs. The staff rota showed that suitable levels of staffing were also provided at other times of the day and despite the reduction of the number of people using the service, staffing levels had been maintained.

People’s social and health care needs were assessed, and care was planned and delivered in a consistent way. People using the service had enduring long term mental health conditions and care plans showed that the information and guidance provided to staff was clear and identified potential risks to people and how to minimise these risks.

Staff received training to enable them to understand people’s needs and how to provide safe and responsive care.

People were offered choice at meal times and were consulted about the menu. People’s nutritional and hydration needs were met.

Social and daily activities had continued to develop since our previous inspection and people were offered a variety of interesting activities and were free to choose if they participated or not.

People were able to complain or raise concerns if they needed to. The provider regularly reviewed the performance of the service to ensure that standards were maintained, and improvements were made. People’s views and preferences were considered, not least in terms of the current planned closure of the home and alternative places being identified for people to move to.

Further information is in the detailed findings below.