Background to this inspection
Updated
5 October 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 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
This inspection was completed by two inspectors on day one and one inspector on day two.
Service and service type
Standon House is a 'care home'. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. Standon House 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 service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.
At the time of our inspection there was a registered manager in post. The registered manager was not present during this inspection. However, we were supported by the care manager.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
We asked the local authority and Healthwatch for any information they had which would aid our inspection. Local authorities together with other agencies may have responsibility for funding people who used the service and monitoring its quality. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used all of this information to plan our inspection.
During the inspection
We spoke with four people and spent time in the communal areas to better understand people's experiences of support. Additionally, we spoke with seven staff members including the care manager, assistant manager, day manager, finance manager, senior carer, carer, cook and the maintenance person.
We looked at the care and support plans for four people and looked at several documents relating to the monitoring of the location, training, health and safety checks. We looked at the recruitment process of two staff members.
Updated
5 October 2022
About the service
Standon House is a residential care home without nursing care. The home accommodates a maximum of 31 people in one adapted building. At the time of this inspection 27 people lived in home, some of whom were living with dementia. Accommodation was provided over two floors with shared communal facilities, including lounge and dining areas.
People's experience of using this service and what we found
People were not always safe as the infection prevention and control procedures were not always effectively implemented. The provider still needed to improve their systems for identifying and mitigating potential environmental issues which could put people at the risk of harm.
The provider had not developed some protocols for the administration of specific medicines. However, people received their medicines, as prescribed, by staff members who had been trained and assessed as competent.
The provider and management team needed to make further improvements in their quality assurance checks to ensure people received good care in a safe environment.
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.
The management team reviewed any incidents, accidents and near misses to identify whether any trends could be established or whether anything else could be done differently to safely support people.
People were protected from the risks of abuse and ill treatment.
People were engaged with decisions about the service they received and felt their opinions were valued by the management team.
The provider and management team had good links with the local communities within which people lived.
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 requires improvement (published 11 February 2022) and there were breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
This inspection was prompted by a review of the information we held about this service. As a result, we undertook a focused inspection to review the key questions of safe and well-led. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
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.
We have found evidence that the provider needs to make improvements. Please see the safe and well-led sections of this report.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.