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CQC report explained · a residential care home

What the CQC found at Stoneleigh Home

Outstandingpublished 3 December 2019, 6 years ago

Rated Outstanding: inspectors found the home performing exceptionally well.

The five questions inspectors ask
Safe?
Good
People were protected from abuse and avoidable harm. Staffing, recruitment, risk management, infection control and medicines arrangements were found to be safe.
Effective?
Good
Staff had suitable training and support. People's needs were assessed and reviewed, they received a balanced diet and prompt healthcare support, and consent arrangements followed the law.
Caring?
Outstanding
Inspectors found an exceptionally strong person-centred culture. Staff knew people well, respected their choices and supported their dignity, independence and relationships.
Responsive?
Outstanding
Care was tailored to people's preferences and needs. The home provided a wide range of activities, strong community links and highly personalised end of life care.
Well-led?
Outstanding
Leadership was described as exceptional. The manager used audits, meetings and surveys to monitor quality, and staff worked as a motivated team focused on improvement.
The latest report, explained

What inspectors found, December 2019

Stoneleigh Home was rated Outstanding; inspectors found exceptionally caring, responsive and well-led care, with safe and effective care rated Good.

This was an unannounced inspection on 22 October 2019. One inspector spoke with five people living at the home, three relatives and staff. They also reviewed care records, medicines records, training, recruitment and other documents.

People were described as receiving highly personalised care from a supportive and well-organised home. Inspectors found that people were safe, received their medicines on time, had good support with food and healthcare, and were treated with kindness and dignity.

Care was rated Outstanding for caring, responsive care and leadership. The home offered many activities, helped people stay part of the local community, and had detailed plans for end of life care. Safe and effective care were rated Good.

The overall rating improved from Good at the previous inspection, published on 26 April 2017. Responsive care and leadership improved from Good to Outstanding, while caring remained Outstanding and safe and effective care remained Good.

What inspectors praised
  • Personalised, kind care

    Staff knew people's personalities, life histories and preferences. People were treated with kindness, dignity and respect.

    “Staff were fully committed to providing a truly person-centred service.” from the report
  • Activities and community links

    People had many activities based on their interests and were supported to take part in village and community life.

    “The service provided an incredible range of social activities for people that were tailored to their own preferences and interests.” from the report
  • End of life care

    End of life plans were detailed and personal. The home reviewed care after each death and worked with a local hospice to improve practice.

    “People's wishes at end of life had been fully explored.” from the report
  • Strong leadership

    The home had clear oversight of quality and a team culture focused on listening, learning and improvement.

    “There was a solid structure of governance embedded in the service.” from the report
  • Safe medicines and staffing

    Inspectors found enough staff, appropriate recruitment checks and safe medicines arrangements.

    “Medicines arrangements were safe and managed appropriately; people received their medicines when they should.” 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 would you personalise care and activities for my relative's interests, routines and communication needs?
  2. 02How do you make sure medicines are given safely and on time, including medicines prescribed to be given when needed?
  3. 03How would you support my relative to remain independent and involved in the local community?
  4. 04How are end of life wishes recorded, reviewed and shared with staff and healthcare professionals?
  5. 05How do you use surveys, audits and feedback to identify and make improvements?

This was a planned, unannounced inspection covering all five CQC questions, including care, accommodation, medicines, staffing, records and management systems. This explanation was written from the published report of 3 December 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.

An earlier report, explained

What inspectors found, April 2017

Rated Good; inspectors found outstandingly caring support, with all other areas also rated Good.

The inspection took place on 8 and 13 March 2017. The first visit was unannounced, and inspectors returned to complete their work. They spoke with people living in the home, visitors, staff, managers and a healthcare professional. They also checked care records, staff records, medicines and quality checks.

The home supported 12 older people, with space for up to 14. Inspectors found people felt safe, had enough staff and received safe medicines support. Staff were trained and supported, and people were helped with food, healthcare, choices and activities.

Inspectors rated the care Outstanding because people and relatives described exceptionally kind, respectful and personal support. The overall rating was Good, and the home had kept this rating since the previous inspection in November 2014.

What inspectors praised
  • Kind and respectful care

    Inspectors found an exceptionally strong person-centred culture. People were treated with kindness, respect and dignity, including when receiving personal care.

    “The feedback we received about the quality of care at Stoneleigh was unanimously extremely positive and demonstrated an outstanding level of attention to people's needs and wishes.” from the report
  • People felt safe

    People said they felt safe and well cared for. Staff understood safeguarding and used individual risk assessments to reduce risks.

    “All the people we spoke with told us they felt safe and well cared for.” from the report
  • Personalised support

    Care plans recorded individual needs and preferences. Staff knew people well and supported personal routines, hobbies and choices.

    “People, relatives and visitors all told us that staff knew people well, and tailored their support to people's individual needs and preferences.” from the report
  • Good leadership and improvement

    People and visitors described the home as well managed. Managers collected feedback and used audits and action plans to make improvements.

    “There was a strong emphasis on continual improvement at the service.” from the report
What inspectors were concerned about
  • One recent staff reference was missing

    needs fixing

    In one staff record, the references were positive but none came from the person's most recent health and social care employer. The manager agreed to seek recent references consistently.

    “although three positive references had been obtained, none of these were from the staff member's most recent health and social care employer” from the report
  • Some people wanted more meal variety

    minor

    People were offered meal choices and inspectors found the food hot and appetising. However, one person said more variety would be welcome.

    “Good, but a little more variation would be welcome.” from the report
Questions to ask them, based on this report
  1. 01How do you now make sure references are obtained from each applicant's most recent health and social care employer?
  2. 02How much choice and variety is currently available in the meals?
  3. 03How are people's changing health needs recorded and passed on to healthcare professionals?
  4. 04How are people and relatives involved in advance care plans and end of life wishes?
  5. 05What activities are currently available for people who do not want to join group activities?

This was a planned inspection covering all five areas, with records, medicines, staffing, care and quality monitoring checked during visits on 8 and 13 March 2017. This explanation was written from the published report of 26 April 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.

The story over the years

Every inspection of Stoneleigh Home

3 rated inspections over 5 years: the service has improved, from Good to Outstanding.

  1. December 2019Outstandingcurrent ratingup from Good
    Safe: GoodEffective: GoodCaring: OutstandingResponsive: OutstandingWell-led: Outstanding

    Read what inspectors found at Stoneleigh Home →

  2. April 2017Goodstayed Good
    Safe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Good

    Read what inspectors found at Stoneleigh Home →

  3. February 2015Good
    Safe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. December 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. December 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. April 2011

    Registered with the Care Quality Commission on 10 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.

Next steps

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Care at home

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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.

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