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CQC report explained · a nursing home

What the CQC found at Statham Manor Care Centre

Goodpublished 27 May 2023, 3 years ago

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

The five questions inspectors ask
Safe?
Good
People told inspectors they felt safe, and there were enough trained and safely recruited staff. Medicines were stored securely, but records for medicines given when needed were not always detailed enough, and some opened bottled medicines were not dated.
Effective?
Good
People's needs, nutrition and healthcare were assessed and supported. Some mental capacity assessments were not completed promptly or fully, so the home was asked to strengthen its processes.
Caring?
Good
People and relatives described staff as kind, respectful and approachable. Inspectors saw staff supporting people's dignity, privacy, independence and involvement in decisions.
Responsive?
Good
Care was generally personalised and people had choices about their support and daily lives. Some care plans, including repositioning instructions and end-of-life preferences, needed more detail.
Well-led?
Good
People, relatives and staff said the home was well managed and approachable. Audits and improvement systems were in place, but care plan and medicines checks could be more frequent or cover more records.
The latest report, explained

What inspectors found, May 2023

Statham Manor Care Centre is Rated Good; inspectors found kind, safe care, with some improvements needed in medicines records, capacity assessments and audits.

This was the first inspection since the home registered. It was unannounced and took place on 24 April 2023. Inspectors spoke with people living there, relatives, managers and staff. They also checked care records, medicines records, recruitment files and management audits.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People and relatives said they felt safe, well cared for and listened to. Inspectors found enough safely recruited staff, suitable training, good infection control and support with meals, healthcare, activities and relationships.

Inspectors found some shortfalls but no breaches of regulations. They recommended improvements to medicines management and mental capacity assessments. They also found that some care plans and quality checks needed more detail or more frequent review.

What inspectors praised
  • Kind and respectful staff

    People and relatives gave positive feedback about staff's kindness, respect and approach. Inspectors also observed warm and caring interactions.

    “People and their relatives told us staff were caring and treated people with respect.” from the report
  • Staffing and training

    There were enough staff to support people when needed. Staff had completed relevant training, and recruitment checks had been carried out.

    “All staff completed training to enable them to support people safely, regardless of their job role.” from the report
  • Choice and activities

    People were supported to choose how they spent their time and to maintain important relationships. Activities included games, crafts, films, quizzes and walks.

    “There was a variety of activities and events that people could participate in if they wanted to, and these were advertised within the home.” from the report
  • Communication support

    Inspectors found that people's communication needs were assessed and recorded. Staff understood how people communicated and supported the use of aids such as hearing aids and glasses.

    “People's communication support needs were fully assessed and met.” from the report
What inspectors were concerned about
  • Medicines records

    needs fixing

    Instructions for medicines prescribed to be given when needed did not always explain clearly when to give them. Some bottled medicines were not dated when opened. The home provided updated protocols after the inspection.

    “Information to support staff to safely administer 'when required' medicines was in place but was not always sufficiently detailed to provide clear directions on when to administer them.” from the report
  • Mental capacity assessments

    needs fixing

    Some assessments about whether people could make particular decisions were not completed promptly, fully or accurately. The home was asked to review its processes.

    “However, we found instances where assessments had not been completed in a timely way or had not been completed fully or accurately.” from the report
  • Care plan detail

    needs fixing

    Some care plans did not give enough detail for staff, including how often people needed repositioning. Records of repositioning support were not always complete, although inspectors found no people with skin integrity problems.

    “Records of repositioning support provided, were not always completed comprehensively, although there were no people with any skin integrity issues.” from the report
  • Quality checks

    minor

    The home had introduced audits, but inspectors said care plan and medicines audits could be more frequent or cover a higher proportion of records.

    “Care plan and medication audits could be completed more frequently, or a higher percentage of records be audited, to help improve their effectiveness further.” from the report
Questions to ask them, based on this report
  1. 01What changes have been made to the instructions and records for medicines prescribed to be given when needed?
  2. 02How do you now make sure opened bottled medicines are dated and not used after their expiry date?
  3. 03How are mental capacity assessments completed promptly and recorded fully for each decision?
  4. 04How often are care plans and medicines records audited, and how are any problems followed up?
  5. 05How do care plans record the timing of repositioning support and each person's end-of-life preferences?

This was an unannounced first inspection covering all five key questions, including infection prevention and control under Safe; there were no previous ratings to carry over. This explanation was written from the published report of 27 May 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.

The story over the years

Every inspection of Statham Manor Care Centre

Each visit the CQC has published, newest first, back to the day the home was registered.

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

    Read what inspectors found at Statham Manor Care Centre →

  2. December 2022

    Registered with the Care Quality Commission on 20 December 2022.

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

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