CQC report explained · a residential care home
What the CQC found at 27 Stratton Road
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People's risks had been assessed and regularly reviewed. Inspectors found enough staff, safe recruitment checks and complete medicines records.
- Effective?
- Good
- People had detailed health action plans and access to healthcare professionals. Staff received training and support, including training to improve communication.
- Caring?
- Good
- Staff treated people with dignity and respect. People were supported to make everyday choices and maintain their independence.
- Responsive?
- Good
- Care plans were personalised, reviewed regularly and changed when needed. People were supported with communication, activities, community access and their own interests.
- Well-led?
- Good
- Inspectors found approachable leadership, regular feedback from people and staff, and systems to monitor care quality and safety.
What inspectors found, May 2019
Innovations Wiltshire Limited - 27 Stratton Road was rated Good in every area; inspectors found safe, kind and personalised care.
Inspectors visited on 9 April 2019. They spoke with people living at the home, staff, relatives and healthcare professionals. They observed care and checked care plans, medicine records, accidents, audits and other records.
The home supports four people with learning disabilities. Inspectors found that people had detailed care plans, regular reviews and support tailored to their choices and interests. Staff were safely recruited, medicines were given as prescribed and people could access healthcare.
People and relatives described staff as kind and caring. Inspectors found that people were treated with dignity, supported to make choices and encouraged to be independent. The home was described as open and well managed, with regular checks on quality and safety.
The overall rating was Good, and all five areas were also rated Good. This means the report found good standards across safety, effectiveness, caring, responsiveness and leadership. The rating was unchanged from the previous inspection in November 2016.
Safe medicines and staffing
Medicines records were complete, storage temperatures were checked and staff had been assessed as competent. Inspectors also found enough staff and a consistent core team.
“People received their medicines as prescribed. People's medicines administration records were completed in full with no gaps in recording.” from the report
Kind and respectful care
People were observed approaching staff for help and were treated with dignity. Staff supported people to make choices and remain as independent as possible.
“People were supported and treated with dignity and respect; and involved as partners in their care.” from the report
Personalised support
Care plans recorded people's needs, communication and interests. Staff worked with healthcare professionals to find approaches that helped people, including when someone became distressed.
“People received personalised care which was responsive to their needs.” from the report
Good leadership and feedback
The home had regular management checks, team meetings and feedback from people. Relatives and staff said managers were approachable and the home was managed well.
“There was an open and transparent culture at the service and staff told us the registered manager was approachable.” from the report
Inspectors raised no specific concerns in this report.
- 01How will you keep my relative's care plan and risk assessments updated as their needs change?
- 02How will you support my relative to communicate, make choices and remain independent?
- 03What activities and community opportunities would be available for my relative?
- 04How will you manage my relative's medicines, including any medicines needed only when required?
- 05How would you involve our family in care reviews and in recording end of life wishes where appropriate?
This was a planned inspection of the care home, covering both the premises and the care provided, with all five CQC questions rated. This explanation was written from the published report of 9 May 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.
What inspectors found, December 2016
Rated Good; inspectors found safe, kind and personalised care, with one unclear safety instruction corrected during the visit.
The inspection took place on 9 November 2016. It was announced the day before. One inspector visited, met all four people living in the home, spoke with relatives, managers and care staff, observed care, and checked care records, staff files, medicines records and quality checks.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines arrangements, suitable training, personalised care plans, support with health needs and a kind atmosphere.
The report says the home had fixed problems found at the previous inspection in August 2015. These included managing risks and medicines, infection control, mental capacity records and checking the quality of the service.
One care plan contained unclear references to physical intervention techniques, even though staff said they did not use restraint. The guidance was amended during the inspection, and management said it would review how people would be kept safe during a fire.
Personalised care
Care plans included people's histories, choices, routines and support needs. Staff knew this information and followed it in practice.
“Care plans provided comprehensive, detailed information about people including their personal history, individual preferences, interests and aspirations.” from the report
Safe medicines
Inspectors found medicines were securely stored, recorded and checked. Staff were trained and assessed before giving medicines.
“Medicines were stored securely and administered safely. Medicines held by the service were securely stored in locked cabinets in people's bedrooms.” from the report
Kind relationships
People appeared comfortable with staff. Inspectors saw staff provide care in a kind way while protecting privacy and dignity.
“We saw people being treated in a kind and caring manner. We observed staff supporting people in ways that maintained their privacy and dignity.” from the report
Improvements since 2015
The report says the home had acted on all the areas identified at the previous inspection, including risk management, medicines and record keeping.
“We found on this inspection the provider had taken all the steps to make the necessary improvements.” from the report
Unclear emergency guidance
needs fixingOne positive behaviour support plan referred to techniques that had not been explained or identified. Staff said they did not use physical intervention or restraint, and the guidance was amended during the visit.
“Training and clear guidance on what these techniques were was not in place which meant staff may not be clear on what techniques they should be using.” from the report
- 01What changes have been made since the inspection to make emergency and fire guidance clear for every person?
- 02How are mental capacity assessments, best-interest decisions and any DoLS applications kept up to date?
- 03How many staff are normally on duty during the day and overnight, and how is extra cover provided when needed?
- 04How would you support my relative to choose activities and maintain contact with family?
- 05How are medicines audits and care plan reviews checked, and how are any problems followed up?
This was an announced inspection of the overall service and all five rating areas, including observations, discussions and checks of care, staffing, medicines and management records. This explanation was written from the published report of 1 December 2016 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 27 Stratton Road
3 rated inspections over 4 years: the service has improved, from Requires improvement to Good.
- May 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2016Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2015Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- January 2014
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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Most charge £1,020 to £1,340 a week. 82 can care for a couple. 12 years' experience on average.
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