CQC report explained · a residential care home
What the CQC found at 20 Stratton Road
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured about infection prevention and control, testing, protective equipment, cleaning and visiting arrangements. The provider said it had measures to manage COVID-19-related staffing pressures.
- Effective?
- Good
- This area was not assessed in this targeted inspection.
- Caring?
- Good
- This area was not assessed in this targeted inspection.
- Responsive?
- Good
- This area was not assessed in this targeted inspection.
- Well-led?
- Good
- This area was not assessed in this targeted inspection.
What inspectors found, March 2022
Inspected but not rated; inspectors were assured about infection control, visiting arrangements and COVID-19 safety.
This was a targeted, announced inspection on 22 February 2022. Inspectors looked mainly at infection prevention and control, visiting arrangements and whether COVID-19 staffing pressures affected the home.
The home was clean and smelled fresh. Cleaning was increased for frequently touched areas. People and staff were testing regularly, visitors had to take a lateral flow test, and staff were observed using protective equipment correctly.
Inspectors were assured that the home had suitable infection control policies and plans. People could receive family visits and were supported to visit relatives when restrictions allowed.
The service was inspected but not rated. This means the inspection did not provide a new overall quality rating.
Clean home
Inspectors found the home clean and fresh. Cleaning was increased for high-contact areas such as handrails.
“We found the home was clean throughout and smelt fresh.” from the report
Infection control
People and staff were testing regularly. Visitors had to take a lateral flow test and wear suitable protective equipment.
“People and staff were testing regularly for COVID-19 in line with government guidance.” from the report
Family contact
Staff helped people keep in touch with friends and family during the pandemic, including through the internet and technology.
“Staff had worked hard to help people maintain contact with friends and family during the pandemic and to keep people occupied.” from the report
Inspectors raised no specific concerns in this report.
- 01What infection prevention and control arrangements are in place now, and when was the policy last updated?
- 02How are visitors tested and supported to visit the home now?
- 03How does the home manage staffing pressures and make sure they do not affect people's care?
- 04How will people be supported to keep contact with family and friends?
- 05What quality ratings or inspection information is available for areas that were not assessed in this targeted inspection?
This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; it was inspected but not rated and did not assess the other main areas of care. This explanation was written from the published report of 9 March 2022 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, January 2019
Innovations Wiltshire Limited - 20 Stratton Road was rated Good; inspectors found safe, caring support with a small number of areas to discuss.
This was an unannounced comprehensive inspection on 22 November 2018. The inspector spoke with all three people living in the home, staff, relatives and a health professional. They also reviewed care plans, staff files, medicines, complaints, incidents and management records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines management, suitable training, good healthcare support and detailed care plans. People were supported to make choices, build independence and take part in community activities.
The report also noted that advanced plans about people's wishes at the end of life were not yet in place. One relative felt their family member was not being supported enough to develop independence, although a health professional later told CQC the home was doing everything it could within the home's setting.
Safe medicines support
People who were assessed as able to manage their own medicines were supported to do so, with supplies kept securely.
“People had been assessed to self-administer their medicines and kept a week's supply of them in locked cupboards in their bedrooms.” from the report
Warm relationships
Inspectors saw relaxed, friendly relationships, with people and staff laughing and joking together.
“The atmosphere was relaxed, friendly and informal. There was lots of laughter and joking between people and staff.” from the report
Person-centred plans
Care plans recorded people's preferences, daily routines and future goals. People were involved when plans were reviewed.
“Care plans were person centred and included details of people's likes and dislikes as well as their future goals.” from the report
Independence and community life
People were supported to travel, see family, work towards goals and take part in hobbies and local activities.
“There was a clear focus on maximising people's independence.” from the report
Regular quality checks
The provider used audits and staff meetings to monitor the home and share information.
“Quality assurance processes were in place. Regular audits were carried out on areas such as medicines, infection control, care plans and the environment.” from the report
Future care wishes not recorded
needs fixingAdvanced plans were not in place. This meant people's and families' wishes about future care, hospital admission and spiritual preferences had not yet been recorded.
“Advanced plans were not in place. Having this information in place enables people and their families to inform staff of any special wishes around how they want to be cared for at the end of their lives.” from the report
One concern about independence
needs fixingOne relative felt the home was mainly keeping their family member safe rather than doing enough to promote independence. The report says this was discussed with management, and a health professional later said the home was doing everything it could within the setting.
“I have become rather frustrated over the past year or more that not enough efforts are now in place.” from the report
Management capacity
minorOne relative felt management might be distracted or stretched in recent months. Inspectors still rated the home Well-led Good.
“Over recent months I feel they [manager's] are either distracted or too stretched.” from the report
- 01Have advanced plans now been completed for each person, including their wishes about hospital treatment, end-of-life care and spiritual preferences?
- 02How do you measure whether each person is becoming more independent, rather than only being kept safe?
- 03How many staff are currently available, and how are lone-working arrangements and new staff induction managed?
- 04How do people and their relatives raise concerns, and how are those concerns recorded and followed up?
- 05How often are medicines, care plans, infection control and the environment audited, and what happens when an audit identifies an action?
This was an unannounced comprehensive inspection covering all five CQC question areas, and the report says the overall Good rating had not changed since the previous inspection. This explanation was written from the published report of 9 January 2019 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of 20 Stratton Road
2 rated inspections over 3 years: the service has held its Good rating throughout.
- March 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- January 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2013
Report published without a new overall rating.
- February 2013
Report published without a new overall rating.
- November 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 12 January 2011.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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