Nottinghamshire care home rated ‘inadequate’ and placed in ‘special measures’

Care services in Sutton-in-Ashfield, Nottinghamshire, have been rated inadequate by the Care Quality Commission (CQC) and placed in special measures following inspections carried out in November and December.

Stoneyford Care Home, operated by Stoneyford Sc Ltd, is a residential care home providing accommodation and personal care for up to 58 people. This service supports adults living with dementia.

At the time of the CQC inspection, there were 33 people living in the service.

This is the first inspection under new management at Stonyford Care Home. This plan was prompted in part by concerns raised regarding staffing, person-centered care delivery and planning.

Following this inspection, the home was rated as not only safe and well maintained, but also overall inadequate. Ratings for how efficient, considerate and responsive the home is are rated as Requires Improvement.

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This service has been placed in special measures and will continue to be closely reviewed by the CQC to keep people safe and will continue to be monitored to ensure sufficient improvements are being made. If CQC does not see swift and widespread improvements, further action will be taken, even if it means ending your service.

Amanda Lindon, CQC Midland Deputy Director of Operations, said:

“When we inspected Stonyford Care Home, we were concerned about the lack of strong leadership shown by the new provider and that the culture they had created did not ensure the provision of high quality care.

“Relatives and staff told us there was a culture of blame within the home. Staff also said leaders became defensive when concerns were raised and staff were often called names. Ta.

“People tell us that even in an emergency, they sometimes have to wait an hour or more after ringing the doorbell for someone to check on them, making them feel unsafe in their homes. It puts people at risk of harm and leaders urgently need to ensure they have enough staff to meet people’s needs.

“We found that people spend a lot of time on their own due to a lack of activities and meaningful contact with others. This promotes a positive and person-centered culture. One person said they wanted to spend time outside in the garden and another wanted to go to the community, but when I spoke to the management they said they weren’t aware of it.

“Furthermore, we saw that the house had been recently renovated and everyone seemed happy with the changes, but the house is still not clean enough to control and prevent the spread of infection. For example, food debris was found on chairs and shower chairs in the common lounge, which were stained with feces.

“We look forward to seeing swift and far-reaching improvements to Stonyford Care Home, as the level of care being provided is unacceptable and this is happening. “We will continue to monitor people closely to keep them safe during this time.” We will return to check on their progress, but if people are not receiving the care they are entitled to expect. We will take action without hesitation. ”

The inspector found:

• The person or their relatives were not involved in the development or review of care.
• The risk assessment did not fully identify or mitigate risks.This meant that staff did not have the information they needed to support people in a safe way or in line with their wishes.
• People and relatives said they had raised incidents and complaints with registered managers and providers, but only limited action had been taken, and their concerns were not fully addressed and they received no formal answers.
• Staff we spoke to said the home had changed since the new provider took over, which was having a negative impact on the care people were receiving.

but,

• People and relatives praised the kindness of the staff
• The house had recently undergone renovations and both the people and staff were positive about these changes.