Background to this inspection
Updated
10 June 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 was carried out by 1 inspector and an 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.
Service and service type
Stoneleigh 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. Stoneleigh 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. We sought feedback from the local authority and professionals who work with the service. 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 10 people who used the service and five relatives when we visited the service. We spoke with 13 members of staff including the registered manager, the area director, the deputy manager, two senior care assistants, three care assistants, the head housekeeper, one domestic, two kitchen staff, and the maintenance officer. An Expert by Experience spoke with a further 12 relatives on the telephone on 27 April 2023.
We reviewed a range of records. This included four people's care records and multiple medicine records. We looked at three staff recruitment files. A variety of records relating to the management of the service were reviewed.
Updated
10 June 2023
About the service
Stoneleigh care home is a residential care home providing personal care for up to 36 people. The service provides support to younger adults, older people, those living with dementia, those with physical disabilities, those with learning disabilities and autistic people. At the time of our inspection there were 34 people using the service.
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
At the time of the inspection, the location did not care or support for anyone with a learning disability or an autistic person. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group.
People’s experience of using this service and what we found
People said they felt safe living in the home and with the staff who supported them. People and relatives spoke positively about staff and described them as kind and caring. Staff treated people with dignity and respect, and staff knew people’s needs well.
Staff were aware of safeguarding arrangements and knew what action to take to keep people safe. Risks to people were identified and detailed assessments were in place, to ensure risks were managed safely. There were enough staff to meet people’s needs. Medicines were managed safely. The premises were clean, improvements had been made to the environment, and there were good infection control practices in place.
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.
Quality monitoring systems were effective in identifying and generating improvements. Feedback was sought from people who used the service, relatives and staff, and acted upon appropriately. Staff worked effectively with health and social care professionals which improved people’s wellbeing.
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 20 September 2017).
At our last inspection we recommended that the provider reviewed staffing levels to ensure there were enough staff to meet people's needs. At this inspection we found the provider had acted on this recommendation and improvements had been made.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.