Background to this inspection
Updated
15 August 2019
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.
Inspection team
The inspection team consisted of one Inspector, one Assistant Inspector and one Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Stanley Wilson Lodge 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.
This inspection was unannounced.
What we did before the inspection
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 reviewed all the information we held about the service, including the last inspection reports, information from the service about how they managed incidents and information from stakeholders and members of the public.
During the inspection
We spoke with health care professionals, nine people who used the service and five relatives about their experience of the care provided. We also spoke with thirteen members of staff including the regional quality manager, regional director, registered manager, clinical lead, nurse, care workers, activities organisers, domestics and a chef. We observed the care and support provided to people and interactions between staff and people.
We reviewed a range of records. This included six people’s care records including medicines administration records. We looked at three staff files in relation to recruitment, staff training and staffing rotas. We also looked at a variety of records relating to the overall management of the service and clinical governance.
Updated
15 August 2019
About the service
Stanley Wilson Lodge is a residential care home providing personal and nursing care for up to 75 people aged 65 and over. At the time of our inspection 72 people were using the service. The care home accommodates people across three floors in one purpose built premises. One unit specialises in providing care to people living with dementia and another for people with nursing needs.
People’s experience of using this service and what we found
The registered manager and provider shared a clear vision and very strong values. They led by example and were passionately committed to providing exceptionally good quality individualised care and support. They demonstrated a strong commitment to continuous improvement and took great pride from the service’s achievements. People’s views were listened to and were at the heart of how the service was provided.
Everyone was very positive about the registered manager, staff, and their exemplary approach to providing personalised care. Quality checks and audits enabled the registered manager to identify risks and actions to ensure quality standards were maintained. There was an open culture with evidence of lessons learnt when things went wrong.
Staff had a detailed knowledge of people's histories, their likes, dislikes and how they wished to be supported. This information was used to support people in a way that valued them as unique individuals and respected them for who they were. Staff went to exceptional lengths to ensure people had access to a wide range of activities that met their individual needs.
Staff were committed to ensuring people's wishes at the end of their lives were respected and that people were able to live well and die with dignity.
Risks to people’s safety and wellbeing were well managed. Medicines were managed safely with regular systems of audit to identify and rectify medicines errors promptly. Staff helped people to stay healthy and supported them to access a range of health care professionals.
People were supported to have maximum choice and control of their lives. People were involved in decisions about their care. Policies and systems in the service supported this practice.
Staff had been safely recruited, provided with relevant training relevant to the roles they performed which met people’s health and social care needs. There were enough staff to provide people with the personalised care and support they needed.
Staff were positive about the management of the home and felt valued and respected. This had a significant and positive impact on the quality of care and support of people living at the service.
The home was very clean, well decorated, maintained and furnished. People enjoyed the home cooked food.
The provider had exceptionally strong and effective governance systems in place. The management team continued to carry out a regular programme of audits to assess the safety and quality of the service and identify issues. The strong leadership put people first and set high expectations for staff.
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 30 March 2017).
Why we inspected
This was a scheduled inspection based on the rating at the last inspection.
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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk