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CQC report explained · a residential care home

What the CQC found at Stroud House

Goodpublished 17 January 2023, 3 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors saw enough skilled staff and found that people received medicines safely. Recruitment checks, risk assessments, infection controls and procedures for learning from incidents were also in place.
Effective?
Good
People's physical, mental health and social needs were assessed and reviewed. Staff received induction, shadowing and refreshed training, and people could access healthcare and personalised food support.
Caring?
Good
Staff showed warm and kind interactions. People were involved in decisions, treated with dignity and supported to maintain their independence, privacy, faith and family relationships.
Responsive?
Good
Care plans included detailed routines and preferences. The home offered daily activities, adapted communication where needed, responded to complaints and recorded people's end of life wishes.
Well-led?
Good
Inspectors found an open management style, positive feedback from people, relatives and staff, and quality checks that led to completed improvements. The staff team was described as stable and consistent.
The latest report, explained

What inspectors found, January 2023

Rated Good; inspectors found safe, kind and personalised care, with no evidence that staffing concerns were putting people at risk.

The unannounced inspection took place on 31 October and 03 November 2022 after concerns were raised about staffing levels. One inspector spoke with people, relatives, professionals and staff, and reviewed care plans, medicines records, staff recruitment files and management records.

Inspectors found enough skilled staff during the visit. People received medicines safely, care plans reflected their needs, and staff understood how to protect people from harm. People and relatives described the care as kind, respectful and personalised.

The home supported choice, food and drink, healthcare access, activities and family visits. Inspectors also found strong training, good record keeping and active management. All five areas were rated Good, and the overall rating remained Good, as it was at the previous inspection published on 31 January 2018.

What inspectors praised
  • Staff available

    Inspectors saw staff responding promptly and appearing unhurried. People and relatives also said there were enough staff to meet people's needs.

    “During the inspection we observed there were enough skilled staff deployed to support people and meet their needs.” from the report
  • Kind and respectful care

    People were treated as individuals, with staff listening to their choices and protecting their privacy and dignity.

    “We saw a warm and caring approach by staff with positive and kind interactions between staff and people.” from the report
  • Personalised activities

    Activities were varied and could be offered flexibly, based on people's interests and when they were most able to engage.

    “The provider had developed an approach which optimised the opportunities for engagement in activities.” from the report
  • Open management

    Inspectors found that managers listened to staff, relatives and people, and used quality checks and outside professional advice to improve care.

    “Quality assurance systems were in place and identified areas of improvement.” 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 do you adjust staffing when people's needs change, and how often are agency staff used?
  2. 02How will you make sure my relative's personal routines, food preferences and communication needs are recorded and followed?
  3. 03Which activities would suit my relative's interests, and how can family members take part?
  4. 04How are medicines reviewed if my relative's health or preferences change?
  5. 05How would you involve us in planning and recording my relative's end of life wishes?

This was an unannounced inspection prompted by concerns about staffing levels; inspectors examined all five key questions, while the report refers to the previous report as the last comprehensive inspection. This explanation was written from the published report of 17 January 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.

An earlier report, explained

What inspectors found, January 2018

Stroud House was rated Good; inspectors found safe, kind and responsive care, with effective support and strong management.

This was an unannounced comprehensive inspection on 5 November 2017. One inspector spoke with a resident, family visitors, the manager and staff. They observed care and checked care plans, medicines records, staff records, audits and other documents.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found people were protected from abuse and avoidable harm, medicines were managed safely, and there were enough staff to support people.

People received care based on their needs, choices and routines. Staff were described as caring and respectful. The home had a friendly, homely atmosphere, activities suited to people's interests and systems to listen to feedback and make improvements.

What inspectors praised
  • Safe medicines and staffing

    Inspectors found medicines were received, stored, recorded and given safely. They also found enough staff to support people safely, including on trips.

    “Arrangements were in place to receive, record, store and handle people's medicines safely and securely.” from the report
  • Kind and respectful staff

    Staff took time to communicate clearly, encourage people and check what support they needed. People were involved in decisions and supported to be independent.

    “We saw staff engaging with people in a friendly, cheerful way, explaining things to them, and encouraging and praising them.” from the report
  • Personalised care and activities

    Care plans reflected people's needs, wishes and preferred routines. Activities included trips, arts and crafts, and links with events outside the home.

    “People received care and support which met their needs and took into account their wishes.” from the report
  • Positive management and improvement

    The manager used surveys, meetings, supervision and audits to monitor the service. Feedback had led to changes to the laundry service and shared areas.

    “There were systems in place to learn and improve.” 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. 01What progress has been made with appointing a staff dignity champion?
  2. 02What changes are planned to make the environment friendlier for people living with dementia?
  3. 03How will you make sure my relative's preferred routine is recorded and followed?
  4. 04What activities and trips would be suitable for my relative's interests and abilities?
  5. 05How would you support my relative's communication needs, including any hearing, sight or memory difficulties?

This was an unannounced comprehensive inspection covering all five CQC questions, and the home remained Good in every area. This explanation was written from the published report of 30 January 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 House

3 rated inspections over 8 years: the service has held its Good rating throughout.

  1. January 2023Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Stroud House →

  2. January 2018Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Stroud House →

  3. June 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. July 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. November 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. February 2011

    Registered with the Care Quality Commission on 16 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.

Next steps

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Care at home

26 live-in carers within about an hour of Hampshire

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.

Most charge £1,020 to £1,260 a week. 23 can care for a couple. 14 years' experience on average.

“I cannot recommend Prisca highly enough, she is one in a million.”
Emily B., about Prisca S.
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See live-in carers near HampshireProfiles, rates and reviews are free to look at.

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.