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CQC report explained · a residential care home

What the CQC found at Stokelodge

Goodpublished 2 February 2019, 7 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors found that risks, medicines, staffing, safeguarding and infection control were managed safely. Staff had the training and skills needed to support people safely while promoting independence.
Effective?
Good
People's needs were regularly assessed and reviewed. Staff supported nutrition, exercise, healthcare choices and legal requirements under the Mental Capacity Act, and the earlier shortfall in autism training had been improved.
Caring?
Good
Staff were kind, compassionate and respectful. They used communication methods suited to each person and involved people and relatives in care planning and important decisions.
Responsive?
Outstanding
Staff provided exceptionally flexible, personalised care and often went further than expected to help people achieve their wishes. Inspectors found strong support for activities, relationships, independence and future end of life planning.
Well-led?
Good
The management team provided clear leadership and encouraged an open, person-centred culture. Quality checks, feedback and complaints were used to improve the service.
The latest report, explained

What inspectors found, February 2019

Rated Good overall; Stokelodge provided safe, kind care, with Outstanding support that was highly personalised and responsive.

This was an unannounced comprehensive inspection on 18 December 2018. The inspector spoke with people, relatives, staff and health professionals. They observed care, activities, meals and medicines, and checked care records, staff files, policies and quality checks.

The home was rated Good for safe, effective and caring care, and for being well-led. It was rated Outstanding for being responsive. Inspectors found that staff understood people's needs, managed risks, supported health and independence, and treated people with kindness and respect.

Inspectors found especially strong personalised support. Staff helped people achieve important goals, maintain family relationships and take part in activities they chose. The home had also improved staff training about supporting autistic people since the previous inspection in March 2016.

What inspectors praised
  • Highly personalised support

    Staff adapted support to people's changing needs and helped them pursue important personal ambitions. Inspectors found that this improved people's quality of life and wellbeing.

    “People experienced care that was responsive to their individual needs and preferences.” from the report
  • Strong future planning

    Staff helped people and families explore and record wishes about care at the end of life, even though no one currently needed end of life care.

    “Staff were particularly skilled at helping people and their families to explore and record their wishes about care at the end of their life, which made them feel empowered, valued and listened to.” from the report
  • Improved staff training

    A training shortfall identified at the previous inspection had been addressed. Staff had completed the necessary training for supporting people living with autism.

    “At this inspection we found the provider had made the required improvements and now ensured staff had completed the necessary training.” from the report
  • Open management

    Inspectors found clear leadership, approachable managers and quality checks that supported improvement. Staff felt able to question poor practice and raise concerns.

    “The provider and registered manager had created an open, person-centred culture, which achieved good outcomes for people, based on the provider's key values.” 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 each person's wishes, communication methods and risk plans reviewed when their needs change?
  2. 02How do you make sure new and existing staff have the autism training needed for the people living here?
  3. 03Can you give examples of how staff currently support people to achieve personal ambitions or maintain family relationships?
  4. 04How are people's end of life wishes recorded and reviewed with them and their families?
  5. 05How do you use complaints, incidents and family feedback to make changes?

This was an unannounced comprehensive inspection covering all five key questions, and the overall rating remained Good while Responsive improved to Outstanding. This explanation was written from the published report of 2 February 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.

The story over the years

Every inspection of Stokelodge

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

  1. February 2019Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Good

    Read what inspectors found at Stokelodge →

  2. May 2016Good
    Safe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. May 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  4. June 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. March 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. March 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. December 2010

    Registered with the Care Quality Commission on 8 December 2010.

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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