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CQC report explained · a nursing home

What the CQC found at Stapleton House

Goodpublished 2 September 2023, 3 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
People were protected from abuse and avoidable harm. Inspectors found safe recruitment, enough staff, safe medicines management, effective infection control and regular risk assessments.
Effective?
Good
This question was not separately rated in the report.
Caring?
Good
This question was not separately rated in the report, although people and relatives gave positive feedback about the care and involvement in care planning.
Responsive?
Good
This question was not separately rated in the report.
Well-led?
Good
The manager and regional manager carried out audits and checks, acted on feedback and kept people, relatives and staff involved. Inspectors found a positive and supportive staff culture.
The latest report, explained

What inspectors found, September 2023

Rated Good; inspectors found safe, well-managed care and the Safe rating improved from Requires Improvement.

The inspection visits took place on 30 May and 8 June 2023. One inspector visited without warning. They spoke with the manager, staff and relatives, and checked care records, medicines records, staff files and management records.

The home was rated Good overall. Safe was rated Good, improving from Requires Improvement at the previous inspection. Well-led remained Good. Inspectors found enough staff, safe recruitment, suitable medicines systems, effective infection control and proper action to reduce risks.

People and relatives spoke positively about the care. Inspectors found that people were involved in care planning, staff supported their independence and the manager used audits, feedback and investigations to improve the service.

What inspectors praised
  • Safe staffing and recruitment

    Inspectors found enough staff to meet people's needs. Recruitment checks included identification, work history, references and DBS checks.

    “Staff were recruited safely and there was enough staff to safely support people.” from the report
  • Safe medicines

    Medicines were checked regularly, stored securely and given by staff whose skills were assessed.

    “Medicines were managed safely. The registered manager carried out regular checks on people's medicines” from the report
  • Personalised care

    People and relatives were involved in care planning. Staff supported independence and helped maintain people's interests and passions.

    “Staff ensured people living in the service were happy with the environment and found ways to promote their independence” from the report
  • Good management

    The management team used audits, feedback and investigations to identify improvements and share learning with staff.

    “Results from investigations, feedback sessions and audits were used to improve the quality of the service.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How will you assess and review my relative's physical, mental health and complex care needs?
  2. 02How will you support my relative's independence, interests and preferred daily routines?
  3. 03How will you involve our family in care planning and respond to our feedback?
  4. 04How often will my relative's medicines be reviewed, and how are staff checked as competent to administer them?
  5. 05What staffing levels will be available for my relative's needs, including at night?

The inspection report gives ratings for Safe and Well-led; it does not give separate ratings for Effective, Caring or Responsive. This explanation was written from the published report of 2 September 2023 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.

An earlier report, explained

What inspectors found, March 2022

Stapleton House was inspected but not rated; inspectors were assured about infection control and visiting arrangements during the COVID-19 pandemic.

This was an announced, targeted inspection on 16 February 2022. It looked at infection prevention and control, visiting arrangements, and whether staffing pressures were affecting care.

Inspectors found good practice. The home had identified and managed COVID-19 risks, used personal protective equipment properly, carried out regular testing, and followed government guidance.

Visitors were required to provide a negative lateral flow test. Professional visitors had to show evidence of vaccination. People were supported to visit relatives and access the local community.

The home was inspected but not rated. This was not a full inspection of the five key areas, so it does not provide an overall quality rating.

What inspectors praised
  • COVID-19 risk management

    The registered manager had identified and managed risks linked to COVID-19. The home monitored whether guidance and its own policies were being followed.

    “The registered manager had identified, assessed and mitigated all COVID-19 related risks to people, staff and visitors.” from the report
  • Infection control

    Inspectors were assured that PPE, testing, hygiene, social distancing and infection outbreak arrangements were being managed appropriately.

    “We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed.” from the report
  • Visiting and community access

    People could visit relatives and access the local community, with risk assessments in place to manage possible COVID-19 risks.

    “People were encouraged and supported to leave the service to visit relatives or access the local community.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How are you managing staffing pressures now, and what effect do they have on people's care?
  2. 02What infection control and testing arrangements are currently in place for staff, visitors and residents?
  3. 03Can relatives still visit in residents' rooms or communal areas, and what requirements apply?
  4. 04How do you assess and manage risks when residents leave the home to visit relatives or access the community?

This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; the service was inspected but not rated overall. This explanation was written from the published report of 23 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.

The story over the years

Every inspection of Stapleton House

3 rated inspections over 8 years: the service has held its Good rating throughout.

  1. September 2023Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Stapleton House →

  2. March 2022Inspected but not rated
    Safe: Inspected but not rated

    Read what inspectors found at Stapleton House →

  3. December 2017Goodstayed Good
    Safe: Requires improvementWell-led: Good

    Read this report on cqc.org.uk

  4. October 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. October 2014

    Registered with the Care Quality Commission on 6 October 2014.

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.

Next steps

Weigh the report against the rest

Care at home

39 live-in carers within about an hour of South Tyneside

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 £950 to £1,140 a week. 34 can care for a couple. 10 years' experience on average.

“Petty introduced herself to Mum every time she was caring for her and responded very quickly to Mum if she was distressed in the night.”
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