Stone House Residential Home

Updated 3 December 2022

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

This inspection was carried out by two inspectors.

Service and service type

Stone House 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. Stone House 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 the inspection

We reviewed information we had received about the service since the last inspection and information shared with us 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 reviewed all of the information the service had sent to us since we previously inspected. We used all this information to plan our inspection.

During the inspection

We reviewed records relating to people's care and the management of the service. We spoke with a visiting health care professional; 8 people who used the service; 4 staff members; the registered manager and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider. In addition, we spoke with member of an external management team who had management and oversight of the service.

Updated 3 December 2022

About the service

Stone House Residential Home is a care home providing personal care in one adapted building. The service provides support to 35 people. At the time of our inspection there were 26 people using the service.

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

Improvements were needed by the provider for the ongoing monitoring of people's living environment and records maintained at the service. People's care and support was monitored on a regular basis. The service worked with other agencies and health care professionals to meet people’s needs and wishes.

People received their medicines when needed. Risks to people were identified and where possible minimised. Systems were in place for infection prevention and control. People felt safe living at the service.

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. People were supported by staff who knew them well.

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.

People and family members spoke positively about the service provided at Stone House Residential Care Home. Comments included, “Very good service. I can’t speak highly enough of the service. They are marvellous” and “Family atmosphere, staff are very kind.”

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 January 2018)

Why we inspected

This inspection was prompted by a review of the information we held about this service.

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 remained good 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 section of this report. We found no evidence during this inspection that people were at risk of harm from this concern. Areas of risk identified during the inspection were addressed.

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

Recommendations

We have made recommendations in this report relating to monitoring of people's living environment; records and management oversight.

Follow up

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