CQC report explained · a residential care home
What the CQC found at Stapleton Drive
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People felt safe and staff understood safeguarding duties. Risks were assessed and reviewed, staffing was sufficient, recruitment checks were completed and medicines were managed safely.
- Effective?
- Good
- People were assessed before using the home and received support based on their needs and preferences. Staff were trained, worked with health professionals and supported people with food, drink and healthcare.
- Caring?
- Good
- People were treated with kindness, dignity and respect. Staff supported people to make daily choices, maintain relationships and develop independence.
- Responsive?
- Good
- Care plans were personalised and people were supported with communication, activities and community involvement. Inspectors noted that relatives and representatives were not always involved in care plan reviews.
- Well-led?
- Good
- Management had effective checks on quality and safety, and staff felt supported and valued. This rating improved from Requires Improvement at the previous inspection.
What inspectors found, May 2020
Rated Good; inspectors found safe, kind and personalised care, with some care plan reviews not involving relatives enough.
The inspection was unannounced and took place on 9 March 2020. One inspector spoke with three people, four staff members and three relatives. They also observed care and checked care records, medicines, staff files, incidents, complaints and quality checks.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People were supported by trained staff, received their medicines, had their health needs monitored and were involved in decisions about their care.
Inspectors found that people had choice, control and support to develop independence. They could take part in activities, work or volunteering, and staff supported their communication needs.
The home had improved its management and staff communication since the last inspection. However, inspectors found that care plan reviews did not always involve relatives or representatives.
People felt safe
Staff understood safeguarding and individual risks. Relatives also said staff knew people well enough to keep them safe.
“People and their relatives explained to us how the staff maintained their safety.” from the report
Choice and independence
People were supported to make choices about daily life and to build skills. This included cooking, work, volunteering and activities in the community.
“People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.” from the report
Skilled staff
Staff received induction, supervision and ongoing training. Inspectors found they had the knowledge and skills to meet people's needs.
“New staff had completed a comprehensive induction, were well supported and either had health care qualifications or were completing a nationally recognised qualification, the Care Certificate.” from the report
Improved leadership
Management communication and staff morale had improved since the previous inspection. Staff said they felt valued and able to raise concerns.
“At this inspection we found there were regular meetings for staff where their views were encouraged.” from the report
Relatives not always involved in reviews
needs fixingInspectors found that care plan reviews lacked involvement from relatives and representatives. The manager said they were developing review meetings so relatives and representatives could attend.
“We saw care plan reviews lacked involvement from people's relatives and representatives.” from the report
- 01How will relatives or representatives be invited to take part in care plan reviews?
- 02How will you make sure my relative's changing needs and preferences are recorded and acted on?
- 03What activities, work or volunteering could my relative take part in?
- 04How would you support my relative to communicate their choices and concerns?
- 05How will you tell us about changes in my relative's health or care needs?
This was an unannounced planned inspection covering all five key questions; the previous overall rating was Good, while Well-led had previously been Requires Improvement. This explanation was written from the published report of 7 May 2020 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, September 2017
Rated Good overall; inspectors found safe, kind and responsive care, but the home’s leadership Requires Improvement.
This was a comprehensive, announced inspection on 30 August 2017. Inspectors spoke with people and staff, observed care, and reviewed care plans, daily records, medicines records, quality checks and meeting records.
The home was rated Good for safe, effective, caring and responsive care. Inspectors found enough skilled staff, detailed risk plans, safe medicines management, personalised care and support for people's choices, relationships, healthcare and activities.
The well-led rating fell from Good to Requires Improvement. The registered manager had been away for about six months. Inspectors found weak communication during organisational changes, inconsistent staff supervision, limited whole-home oversight and some records and improvement actions that had not been completed.
Detailed risk planning
Risk assessments explained possible triggers and the steps staff should take to support people safely.
“Risk management plans were detailed and provided staff with information to enable them to provide care in the safest possible way.” from the report
Personalised support
Care plans gave staff clear guidance about each person's needs, preferences and level of independence.
“Care plans were detailed and personalised and contained specific guidance for staff to follow so they were able to support each person in the way they preferred.” from the report
Respect and independence
Staff were patient and respectful, and encouraged people to do things for themselves where possible.
“Staff treated people with dignity and respect by promoting them to be as independent as possible.” from the report
Activities and relationships
People were supported to keep in touch with family and friends and to take part in activities in the home and community.
“People were supported by staff to take part in activities that they chose, both within the home and in the community.” from the report
Hospital plans were out of date
needs fixingSome hospital support plans had not been updated since 2011 and did not accurately explain the support people would need in hospital.
“some people's hospital support plans had not been updated since 2011 and did not accurately reflect what support the person would need during a hospital stay.” from the report
Inconsistent staff supervision
needs fixingSome staff had regular supervision, but others had gone more than six months without a supervision meeting.
“Some staff told us they had regular supervisions, but others told us they had not had a supervision meeting for over six months.” from the report
Limited whole-home oversight
needs fixingThe three households were operating separately, with no meetings for staff across the whole home. Accident and incident records were not analysed across the service for wider patterns.
“When speaking with staff it was clear that each household was running as a separate unit and there was not always oversight at service level.” from the report
Improvement actions lacked ownership
needs fixingThe provider had an action plan, but no one had been given responsibility for making sure the actions were completed.
“However, nobody had been given ownership of the plan to ensure the identified actions were completed.” from the report
- 01How have the hospital support plans that were out of date since 2011 been reviewed and updated?
- 02Who now owns the improvement action plan, and how do you check that each action is completed?
- 03How will staff be kept informed about organisational changes and decisions affecting the home?
- 04How often does each staff member receive supervision, and how do managers check that no one is missed?
- 05How do you review accidents and incidents across all three households to identify wider patterns?
This was a comprehensive, announced inspection covering all five questions and reviewing care delivery, records, medicines, staffing and management arrangements. This explanation was written from the published report of 22 September 2017 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 Stapleton Drive
3 rated inspections over 5 years: the service has held its Good rating throughout.
- May 2020Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- June 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2014
Report published without a new overall rating.
- November 2013
Report published without a new overall rating.
- December 2012
Report published without a new overall rating.
- January 2012
Report published without a new overall rating.
- April 2011
Registered with the Care Quality Commission on 5 April 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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What to check when you visit
At least 100 live-in carers within about an hour of Solihull
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £980 to £1,250 a week. 78 can care for a couple. 9 years' experience on average.
“If you bump into her in the night on her way to the bathroom she will still inquire how you are and if everything is alright.”
“I have never met a person who is so kind and thinks about others before himself to such an extent as Chris Malagala.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.