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CQC report explained · a residential care home

Stonesby House

147 Stonesby Avenue, Wigston, Leicester, LE2 6TY

Requires improvementpublished 9 January 2024, 2 years ago

Rated Requires improvement: inspectors found the service was not performing as well as it should and told it what to change.

The five questions inspectors ask
Safe?
Requires improvement
Inspectors found unsafe or unsuitable equipment, poor cleanliness and maintenance problems. Staffing, recruitment checks, safeguarding arrangements and medicines were generally safe.
Effective?
Requires improvement
The building was worn and needed renovation, and some care plans did not fully describe the care provided. People were supported with food, healthcare, training and legal decision-making.
Caring?
Good
This question was not inspected during this focused inspection, so its previous rating was carried forward.
Responsive?
Good
This question was not inspected during this focused inspection, so its previous rating was carried forward.
Well-led?
Requires improvement
Quality checks and daily oversight had not identified important safety and environmental problems. There was no service improvement plan, although managers were open to feedback and acted promptly when inspectors raised concerns.
The latest report, explained

What inspectors found, January 2024

Rated Requires Improvement; inspectors found kind care and safe medicines, but unsafe equipment, a tired environment and weak oversight.

This was an unannounced focused inspection over three visits in November 2023. Inspectors spoke with people, relatives and staff, and checked care records, medicines, recruitment files, training and management records. They inspected the environment on each visit.

People generally had enough staff, received their medicines safely and were supported by trained staff. Inspectors found kind and friendly relationships, suitable support with food and healthcare, and evidence that people's choices and legal rights were considered.

However, some equipment was unsafe or used for the wrong purpose. The home was not always clean or well maintained, and much of it was worn and needed renovation. Management checks had not found these problems, and there was no service improvement plan.

The overall rating changed from Good at the previous inspection in 2019 to Requires Improvement. This inspection only assessed Safe, Effective and Well-led. The Caring and Responsive ratings were not reassessed and were carried forward from the previous inspection.

What inspectors praised
  • Safe medicines

    People received their prescribed medicines safely. Staff were trained and assessed as competent, and medicines records and storage supported safe practice.

    People received their prescribed medicines safely. People told us they felt well supported with their medicines.from the report
  • Enough staff

    Inspectors found enough staff on duty and safe recruitment checks were in place.

    People were supported by enough staff. One person told us, "We're in good hands, there are plenty of staff.from the report
  • Kind atmosphere

    People appeared comfortable with staff, and relatives described staff as friendly and welcoming. People and staff could raise concerns or make suggestions in meetings.

    The atmosphere in the service was relaxed and friendly. People seemed comfortable around staff and spoke fondly about them.from the report
  • Food and healthcare support

    People were supported to eat and drink enough, including people with specialist dietary needs. The home worked with health and social care professionals and supported people to attend appointments.

    People with specialist dietary requirements, and people who needed support with their meals, were supported in a dignified and caring way.from the report
  • Prompt response to feedback

    Managers acted straight away when inspectors raised concerns, including ordering a mattress, securing furniture and improving some cleaning and equipment problems.

    The deputy manager and provider were open to feedback during the inspection and took immediate action when concerns were raised.from the report
What inspectors were concerned about
  • Unsafe equipment

    serious

    One person was given a crash mat instead of a mattress for sleeping. Furniture was not fixed in place and could have fallen and caused injury.

    One person was provided with a crash mat instead of a mattress for sleeping. This put the person at risk of injury and was not dignified.from the report
  • Weak quality checks

    serious

    Monthly audits and daily oversight had not identified the unsafe sleeping arrangement or the environmental problems. There was no service improvement plan.

    Quality assurance systems were not always effective. For example, monthly audits had not identified the lack of cleanliness or environmental improvements required.from the report
  • Incomplete care plan details

    minor

    Some care plans did not contain full details of the care staff provided, although inspectors did not find concerns with the care being delivered.

    We identified some care plans that did not contain full details of the care provided by staff.from the report
  • Missing financial authorisation

    needs fixing

    One person was being supported with their finances without the necessary authorisation in place. Managers completed an assessment promptly after inspectors raised this.

    We identified 1 person who was being supported with their finances, without the necessary authorisations in place.from the report
Questions to ask them, based on this report
  1. 01What work has been completed to remove mould, limescale and dirt, and how will you keep the home clean?
  2. 02Which equipment and furniture have been checked and secured since the inspection?
  3. 03What is the timetable for renovating the worn areas, and where is the service improvement plan?
  4. 04How do you now check that care plans fully describe the care each person receives?
  5. 05What action has been completed following the breach of Regulation 17, and how will you show that management checks are finding problems promptly?

This was an unannounced focused inspection of Safe, Effective and Well-led only; Caring and Responsive were not inspected and their previous ratings were carried forward from 2019. This explanation was written from the published report of 9 January 2024 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 Stonesby House

3 rated inspections over 7 years: the service has slipped, from Good to Requires improvement.

  1. January 2024Requires improvementcurrent ratingdown from Good
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read what inspectors found at Stonesby House

  2. July 2019Goodstayed Good
    Safe: GoodEffective: GoodWell-led: Good

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

  3. November 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. November 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. July 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. October 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. September 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. January 2011

    Registered with the Care Quality Commission on 11 January 2011.

Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.

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Same provider

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