About the service: This service is registered to provide nursing care and accommodation for up to 41 people. At the time of the inspection, 40 people were using the service. This included people who were living with dementia. What life is like for people using this service:
• People received exceptional, person-centred care from the onset. Their wishes were understood through numerous pre-admission visits. Close relationships between people, staff and families had developed. Family members told us the care their relatives received was exceptional and had far exceeded their expectations.
• People were fully in charge of planning and refining their care. This was high quality, bespoke and flexible around their changing needs and preferences. People received highly individualised care and were supported by numbers of staff which exceeded their assessed needs.
• Careful attention was paid to people’s spiritual and cultural beliefs so that their lifelong practices were respected and adhered to in the manner they were accustomed to.
The registered provider worked passionately with stakeholders and embedded best practice and excellence in End of Life Care. Staff understood and respected the importance of delivering care in the way people planned at the end of their lives.
• Strong relationships with the GP, university and end of life working groups ensured care was based on best practice and embedded within the home. The provider ensured staff had bespoke training to meet people's specific needs.
The registered provider and manager led by example and used all opportunities to drive continuous improvement at the home. People were at the heart of the service. People, staff, relatives and health professionals were fully involved in developing the service to ensure high quality care. They felt their views were important to the leadership team and that their opinions were listened to and acted upon. Leadership values were inclusive and set high professional standards for staff to adhere to. All staff were valued by the registered provider. Staff were motivated and spoke with pride about working at the home. They felt valued by the processes in place to support them.
• Systems were in place to take any learning from any complaints made.
• Staff understood how to keep people safe. Staff knew how to recognise and report abuse.
• Staff recognised the risks to people's health, safety and well-being and how to support them.
• Staff recruitment processes included a check of their background to review staff suitability to work at the home.
• People received support with the medicines from nurses at the home and regular checks were in place.
• The home was clean and staff took pride in maintaining the home’s appearance.
• Guidance on people's needs was shared through supervision and staff meetings.
• People were offered numerous choices at mealtimes. People’s whose nutrition was a concern were supported through innovative and original ways to improve their wellbeing.
• People’s access to healthcare appointments and advice from healthcare professionals was planned and reviewed with exceptional diligence so people’s health care needs were met and anxiety was minimised.
• People were treated with dignity and respect and their independence was promoted.
• People and their families were involved in planning their care with support from staff.
• Staff enjoyed working at the home and received advice and guidance from the registered manager.
• We found the service met the characteristics of “Outstanding” rating overall;
Rating at last inspection: Good. The last report for Stanfield Nursing Home was published on 20 January 2016.
Why we inspected: This was a planned inspection based on the rating at the last inspection. The service had improved from Good to Outstanding.
Follow up: We will continue to monitor intelligence we receive about the service until we return to visit in line with our inspection programme. If concerning information is received, we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk