Nutten Stoven Residential Home

Updated 11 November 2023

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

The inspection team consisted of 1 inspector.

Service and service type

Nutten Stoven Residential Home 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. Nutten Stoven Residential Home is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

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 sought feedback from the local authority. 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 3 people who lived at the home to gather their views on the care they received. We spoke with the provider, registered manager and 3 care workers. We spent time observing care. We reviewed a range of records. This included 6 people’s care records and multiple medication records. We looked at 3 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 11 November 2023

About the service

Nutten Stoven Residential Home is a residential care home providing regulated activity of personal care to up to 30 people. The service provides support to older people some of whom may be living with dementia. At the time of our inspection there were 12 people using the service.

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

Medicines had not been safely managed in the home. The registered manager had implemented an electronic system to manage medicines, however they failed to ensure that it was working correctly leaving people at risk of not receiving their medicines as prescribed.

The registered manager completed disclosure and baring checks on staff to ensure they were safe to work with people living at the home. However, they failed to obtain a full work history or gather up to date references from their last employment in social care. This meant risks were not fully managed.

Systems were in place to monitor the quality and safety of the care provided. While they had driven improvements from the last inspection, they had failed to identify the concerns with medicines and references.

Staff were kind and caring. There were enough staff to meet people’s needs and staff received the training and support needed to provide safe care to people. They were confident to raise any concerns about people’s safety and their care needs.

Risks to people were identified and care was planned to keep people safe. People were happy with the food offered and were supported to eat safely and maintain a healthy weight. The home was clean and tidy. Staff worked to minimise the risk of infection.

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 and update

The last rating for this service was inadequate (published 4 May 2023).

The provider had multiple breaches of regulation at their last inspection and we imposed conditions on their registration to drive improvements in care.

At this inspection we found improvements had been made. However, more work was needed and the provider remained in breach of two regulations.

This service has been in Special Measures since 27 January 2023. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.

Why we inspected

This inspection was carried out to follow up on action we told the provider to take at the last inspection.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

The overall rating for the service has changed from inadequate to requires improvement based on the findings of this inspection.

We have found evidence that the provider needs to make improvements. Please see the safe and well-led sections of this full report.

You can see what action we have asked the provider to take at the end of this full report.

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

Enforcement

We have identified breaches in relation to medicines, the safe recruitment of staff and the governance of the service at this inspection.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.