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CQC report explained · a residential care home

What the CQC found at Stroud Court Community Trust

Goodpublished 29 August 2018, 8 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors found effective safeguarding, risk management, staffing and medicines systems. Some employment-history gaps had been discussed but were not always recorded, and emergency evacuation plans were still being developed.
Effective?
Good
Staff were trained, people received support with healthy eating and health appointments, and staff understood consent and best-interest decisions. The system for overseeing training and supervision requirements was being improved.
Caring?
Good
Staff were described and observed as kind, warm and respectful. People were involved in decisions, supported to maintain relationships and given privacy and independence.
Responsive?
Good
Care was personalised around people's communication, health, behaviour and preferences. People had access to activities at home and in the community, while the home was developing a new approach to increase involvement in daily life.
Well-led?
Good
Inspectors found strong values, visible managers and systems to monitor quality. The management team and trustees were using audits, feedback and improvement plans to develop the service.
The latest report, explained

What inspectors found, August 2018

Rated Good; inspectors found safe, kind and personalised care, with some records and improvement work still being completed.

This was an unannounced inspection over three days in July 2018. The inspector spoke with people living at the home, staff, managers, relatives and health professionals. They reviewed care records, medicines, complaints, staff recruitment and training records, and quality checks.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found that people were supported by staff who knew them well, had detailed care plans, received their medicines safely and had access to health care.

Relatives were overwhelmingly positive about the care and management. The home was also working to update some accommodation and to involve people more in everyday activities. A few records and improvement systems were still being completed or strengthened.

What inspectors praised
  • Clear risk support

    People had individual risk plans, and staff understood how to respond to changes in mood, health or behaviour. Incidents were reviewed to look for patterns and reduce future risks.

    “People were supported in accordance with their risk management plans.” from the report
  • Kind and respectful staff

    Staff adapted how they communicated with people and respected their privacy, choices and need for independence. Relatives were very positive about the care.

    “We saw staff chatting with people in a friendly and warm way.” from the report
  • Personalised care

    Care plans included people's needs, preferences, communication styles and possible triggers. Staff supported people with activities, relationships and changes in their lives.

    “People received care which was personalised and focused on their individual needs.” from the report
  • Good management oversight

    Managers and trustees used audits, feedback and spot checks to monitor care and identify improvements. Staff and relatives described the culture as positive and progressive.

    “The service continued to have strong person-centred values.” from the report
What inspectors were concerned about
  • Recruitment records

    minor

    Some gaps or discrepancies in staff employment histories had been discussed at interview but were not always recorded. The manager said this would be added to future interview records.

    “Where there had been any discrepancies or gaps in staff's employment history, this had been discussed at interview but not always recorded.” from the report
  • Training oversight

    needs fixing

    The system giving the manager an overview of staff training and supervision requirements was still being improved.

    “The training coordinator was working on improving the systems which would provide the registered manager with an improved overview of the staff training and supervision requirements.” from the report
  • Emergency evacuation plans

    needs fixing

    Detailed personal emergency evacuation plans were still being implemented so staff would know how to support each person during an emergency.

    “The registered manager was making progress in implementing detailed personal emergency evacuation plans to ensure staff knew how to support each person if an emergency occurred, such as in the event of a fire.” from the report
  • More involvement in daily life

    minor

    The home had recognised that people were not always fully involved in daily activities. It was implementing a new approach to increase people's participation and independence.

    “The service had recognised that people were not always fully involved in their daily living activities.” from the report
Questions to ask them, based on this report
  1. 01Have the detailed personal emergency evacuation plans now been completed for every person, and how are staff trained to use them?
  2. 02How do you now monitor staff training and supervision requirements?
  3. 03How do you make sure gaps or discrepancies in employment histories are recorded during recruitment?
  4. 04What has changed since the inspection to involve people more in everyday activities such as meals and household tasks?
  5. 05How are people's changing health and future end of life wishes being discussed and recorded?

This was an unannounced inspection of the overall service, including all five CQC questions, accommodation, care, medicines, staffing, records and quality monitoring. This explanation was written from the published report of 29 August 2018 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 Stroud Court Community Trust

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

  1. August 2018Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Stroud Court Community Trust →

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

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

  3. March 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  4. May 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. February 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. January 2011

    Registered with the Care Quality Commission on 7 January 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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