Background to this inspection
Updated
9 December 2020
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.
As part of CQC’s response to care homes with outbreaks of coronavirus, we are conducting reviews to ensure that the Infection Prevention and Control practice was safe, and the service was compliant with IPC measures. This was a targeted inspection looking at the IPC practices the provider has in place.
This inspection took place on 18 November 2020 and was announced.
Updated
9 December 2020
About the service
Stonebridge Nursing Home is a residential care home providing personal and nursing care for up to 52 people aged 18 and over. At the time of the inspection 47 people were using the service. The home has four wings, each with its own lounge and outside gardens, with bedrooms on two floors. Three wings provide care for people living with advanced dementia and one wings specialises in providing care to people living with long term mental health conditions. There is a separate building for staff training and administration.
People’s experience of using this service and what we found
People were at the heart of the service. The provider's philosophy, vision and values of person-centred care were understood and shared across the staff team. People were supported to maintain their purpose and pleasure in life.
People received care which was highly responsive to their individual needs. Staff had an excellent understanding of people and ensured this was used to provide exceptional individualised care which took account of people’s life histories
The provider and staff team were passionate about providing high quality care tailored to people's individual needs and preferences. Staff invested time to understand the experiences of people who lived at the home.
People told us they had formed excellent relationships with the provider, staff team and other people who lived at the home, built on trust and respect. People contributed to the running of the home because their ideas and choices were acted on.
People were supported to maintain relationships with people important to them. Visitors were welcomed at the home, without restriction and were encouraged to be actively involved in people's lives.
People, relatives and staff agreed the service was extremely well managed and was an exceptionally caring home. Everyone consistently praised the skills of the management team and emphasised they were motivated to provide an exceptional service.
The provider ensured care was based upon good practice guidance. Exceptionally good governance was embedded into the provider and registered manager’s processes. This ensured people received a highly effective service which put them at the heart of their care.
The home had a vibrant and welcoming atmosphere where visitors were welcomed and encouraged. There were processes to monitor the quality and safety of the service provided and actions were taken to drive continuous improvement for the benefit of the people who lived there.
The staff provided a flexible care approach and people were empowered to decide how and when their care was provided. People, relatives and health professionals told us the care provided was effective and people experienced positive outcomes. People and relatives told us staff were empathetic and gave compassionate care.
Staff understood their responsibility to safeguard people from harm and had a good understanding reporting concerns both within and outside the home. Where risks associated with people's health and wellbeing had been identified, there were plans to manage those risks.
Risk assessments ensured people could continue to enjoy activities as safely as possible and maintain their independence. Staff had a good knowledge of how to support people at these times.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
Skilled staff were available at the times people wanted to receive support, in all aspects of their lives. Staff had received training, so people's specific care and support needs were understood and met. We saw training was put into practice. Staff told us the provider proactively ensured they had many opportunities to further develop their skills and knowledge. Staff felt supported and valued by the provider and they prided themselves on providing high quality care.
People received a nutritious diet, had a choice of food, and were encouraged to have enough to drink. The provider and staff team worked closely with external healthcare professionals to ensure people's health and wellbeing was promoted and maintained.
Wherever possible staff supported people to retain responsibility for their own health. Medicines were managed so that people received their medicines as prescribed.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (12 May 2016).
Why we inspected
This was a planned inspection based on the previous rating.
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.