CQC report explained · a residential care home
What the CQC found at Staveley House
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found effective safeguarding, risk management, staffing, recruitment and medicines systems. Infection prevention and control arrangements were also judged suitable.
- Effective?
- Good
- Care records reflected people's needs and were reviewed regularly. Staff had suitable training and support, and residents received help with healthcare, nutrition and decision-making.
- Caring?
- Good
- Staff treated residents with care, patience, respect and kindness. Residents were supported to make choices and maintain their independence.
- Responsive?
- Good
- Care was planned around people's preferences and communication needs. Inspectors found a range of individual and group activities, and a complaints procedure was available.
- Well-led?
- Good
- The management team used audits and feedback to monitor the home and make improvements. Staff said their views were listened to and they felt valued.
What inspectors found, December 2021
Staveley House was rated Good overall; inspectors found safe, kind and person-centred care, with no breaches reported.
The inspection took place on 24 November 2021 and was announced. One inspector spoke with seven residents, seven care staff, the cook, the registered manager and maintenance staff. They observed care, checked records, reviewed medicines, recruitment and training, and looked around the home.
The home was clean and hygienic. Inspectors found enough staff, safe medicines practices and good systems for managing risks and safeguarding people. Residents received support with healthcare, food, activities and communication.
Staff were described as kind, patient and respectful. Residents were involved in decisions about their care and daily lives. The management team used audits and feedback to oversee the service and make improvements.
The overall rating was Good, and all five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. This was unchanged from the previous Good rating published on 16 December 2019.
Safe staffing and medicines
Inspectors found enough staff to meet residents' needs and saw that medicines were stored, administered and recorded safely.
“There were sufficient staff to meet people's care and support needs.” from the report
Kind and respectful care
Staff were observed speaking warmly with residents, offering reassurance and allowing time for conversation and support.
“We observed warmth from staff towards people and conversations were friendly and not rushed.” from the report
Choice and independence
Residents were involved in care decisions and supported to make everyday choices and remain independent.
“People had choice and control in their day to day lives.” from the report
Activities and relationships
The home offered group and individual activities and supported residents to keep in touch with people important to them.
“There had been a variety of activities both individual and group events.” from the report
Management oversight
The management team used audits, feedback and advice from other professionals to monitor and improve the service.
“The management team had auditing systems to maintain ongoing oversight and continued development of Staveley House.” from the report
Inspectors raised no specific concerns in this report.
- 01How are group and individual activities being organised since the activity coordinator left?
- 02How is the new computerised care recording system being introduced, and how will you make sure records stay up to date?
- 03How do you check that staffing levels remain sufficient during periods of staff shortage?
- 04How are residents and relatives involved in care reviews and decisions about the home?
- 05How do you check that medicines given when needed are administered according to their written protocols?
This was an announced inspection covering all five CQC key questions and infection prevention and control; the previous overall rating and all five question ratings were Good. This explanation was written from the published report of 21 December 2021 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 2021
Inspected but not rated; inspectors found strong infection prevention and control arrangements during the COVID-19 pandemic.
This was a targeted inspection on 14 January 2021. Inspectors looked at how the home prevented and controlled infections, including COVID-19 risks. The visit was announced.
Inspectors found that visitors were screened, visiting was suspended in line with government guidance, and people could keep in touch with family using technology. The home used social distancing, en-suite rooms and safe admission procedures.
Staff used protective equipment correctly and there was enough available. Residents and staff were tested regularly, residents were offered COVID-19 vaccinations, and the home was clean. The service was inspected but not rated, so this report does not give an overall quality rating.
Visitor infection controls
The home had procedures to reduce the risk of visitors bringing infections in or spreading them. People entering were given COVID-19 guidance and asked about symptoms.
“The registered manager had thorough and robust procedures to prevent visitors to the home from catching or spreading infection.” from the report
Protective equipment and testing
Staff used protective equipment in line with guidance, and inspectors found enough supplies. Residents and staff were tested regularly.
“We observed the staff used Personal Protective Equipment, (PPE), in line with best practice guidelines.” from the report
Clean environment
Inspectors found the home clean and hygienic, with frequent cleaning of surfaces that people touched often.
“All areas of the home were clean and hygienic.” from the report
Keeping people connected
Although routine visits were suspended under government guidance, people were supported to stay in contact with friends and family using technology.
“People were supported to maintain contact with their friends and families using technology, as they preferred.” from the report
Inspectors raised no specific concerns in this report.
- 01What visiting arrangements are currently in place, and how do you manage infection risks for visitors?
- 02How often are residents and staff currently tested for infections?
- 03How do you make sure enough protective equipment is available and that staff use it correctly?
- 04How are residents supported to keep in contact with family if visiting is restricted?
- 05What are the home's current overall and five-question CQC ratings, and has there been a later inspection?
This was a targeted inspection of infection prevention and control during the COVID-19 pandemic; it did not provide an overall rating or assess all five questions. This explanation was written from the published report of 30 January 2021 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 Staveley House
5 rated inspections over 7 years: the service has improved, from Requires improvement to Good.
- December 2021Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2021Inspected but not ratedSafe: Inspected but not rated
- December 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2015Goodup from Requires improvementSafe: GoodWell-led: Good
- December 2014Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- November 2013
Report published without a new overall rating.
- October 2012
Report published without a new overall rating.
- August 2011
Report published without a new overall rating.
- February 2011
Registered with the Care Quality Commission on 7 February 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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9 live-in carers within about an hour of Westmorland and Furness
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.
8 can care for a couple. 10 years' experience on average.
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.