• Care Home
  • Care home

Steep House Nursing Home

Overall: Good read more about inspection ratings

Tilmore Road, Petersfield, Hampshire, GU32 2HS (01730) 260095

Provided and run by:
London Residential Healthcare Limited

Latest inspection summary

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Background to this inspection

Updated 21 May 2021

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 Care Act 2014.

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

The inspection was carried out by two inspectors.

Service and service type

Steep House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. 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. However, having consideration of the coronavirus pandemic, we gave the provider notice of our arrival from outside the premises. This was to ensure safe systems were in place to protect everyone.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from professionals who work with the provider. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We reviewed a range of records. This included health and safety records, care records for two people and multiple medicine records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service were reviewed. We spoke to four members of staff including the deputy manager, operations manager, maintenance manager and a registered nurse.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at care records, training data and quality assurance records. We received feedback from one person, four relatives and eight members of staff to obtain their feedback about leadership and the quality of care provided. We spoke to the deputy manager to obtain additional information in relation to quality assurance, staff support and risk management.

Overall inspection

Good

Updated 21 May 2021

About the service

Steep House Nursing Home is a care home service with nursing. People in care homes receive accommodation and nursing and personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided. We looked at both during this inspection. The service can support up to 56 people.

People’s experience of using this service and what we found

Risks to people and the environment were assessed, recorded and monitored regularly. There were appropriate policies and systems in place to protect people from abuse. Equipment and premises were maintained and regularly serviced. Effective systems were in place to regularly audit and review the health, safety and quality of the service. Staff were safely recruited, and enough staff deployed to meet people’s needs. Medicines were safely managed. We were assured that infection prevention and control was being safely managed. Learning from accidents and incidents was shared with the staff team to minimise future risks.

People were very much at the centre of service provision and we saw caring interactions between people and staff members. People and their relatives were positive about the leadership and quality of care provided. The management team were clear about their roles and responsibilities. Staff were positive about the management team and felt supported. The staff team had worked together to provide an effective service during the COVID-19 pandemic. Quality assurance processes informed the provider how well the service was running and of any improvements required.

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 (published 03 May 2018).

Why we inspected

We received concerns in relation to the management of health and safety by Steep House’s parent company. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

We reviewed the information we held about the service. No areas of concerns were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe and well-led sections of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Steep House on our website at www.cqc.org.uk.

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.