About the service:

The Staveley Centre is situated in Staveley near Chesterfield and provides accommodation and personal care for up to 32 older people, including those living with dementia. The service has 20 long-term residential care beds and four respite beds. In addition, the service has eight designated beds for intermediate and

re-ablement services. There is an on-site physiotherapist and an occupational therapist to support and aid rehabilitation following illness and hospital care, prior to being discharged home. At the time of our inspection, 28 people were using the service and three were in hospital.

What life is like for people using this service:

People continued to receive safe care. Staff had been provided with safeguarding training to enable them to recognise signs and symptoms of abuse and how to report them. There were detailed risk management plans in place to protect and promote people’s safety. Staffing numbers were sufficient to keep people safe and the registered provider followed thorough recruitment procedures to ensure staff employed were suitable for their role. People’s medicines were managed safely and in line with best practice guidelines. Systems were in place to ensure that people were protected by the prevention and control of infection. Accidents and incidents were analysed for lessons learnt and these were shared with the staff team to reduce further reoccurrence.

People’s needs and choices were assessed and their care provided in line with their preferences. Staff received an induction process when they first commenced work at the service and received on-going training to ensure they could provide care based on current practice when supporting people. People received enough to eat and drink, however they were not able to be involved in menu choices. Staff supported people to access a variety of healthcare services to meet their health and medical needs. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. The principles of the Mental Capacity Act (MCA) were followed.

People continued to receive care from staff who were kind and caring. People were encouraged to make decisions about how their care was provided and their privacy and dignity were protected and promoted. People had developed positive relationships with staff who had a good understanding of their needs and preferences.

People’s needs were assessed and planned for with the involvement of the person and/or their relative where required. Most people were able to take part in activities that met their social needs, however some people expressed dissatisfaction with the activities available and felt they were not appropriate for them. Staff promoted and respected people's cultural diversity and lifestyle choices. Care plans were personalised and provided staff with guidance about how to support people and respect their wishes. Information was made available in accessible formats to help people understand the care and support agreed.

The service continued to be well managed. People and staff were encouraged to provide feedback about the service and it was used to drive improvement. Staff felt well-supported and received supervision that gave them an opportunity to share ideas, and exchange information. Effective systems were in place to monitor and improve the quality of the service provided through a range of internal checks and audits. The registered manager was aware of their responsibility to report events that occurred within the service to the CQC and external agencies.

More information is in Detailed Findings below

Rating at last inspection: Good (report published 29 January 2016)

Why we inspected:

This was a planned inspection based on the rating at the last inspection. The service remained rated Good overall.

Follow up:

We will continue to monitor the service t

This inspection took place on 2 and 4 August 2016 and was unannounced.

The Staveley Centre is situated in Staveley near Chesterfield and provides accommodation and personal care for up to 32 older people. The service has 20 long-term residential care beds and 4 respite beds. In addition the service has 8 designated beds for intermediate and re-ablement. The service has an on-site physiotherapist and an occupational therapist to support and aid rehabilitation following illness and hospital care, prior being discharged home. At the time of our inspection, 29 people were at the service as 3 people were in hospital.

There was a registered manager in post at The Staveley Centre. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People received care from staff who had received training to meet their individual needs. People were supported and had access to health and social care professionals, as required.

Staff were provided with training to make sure they knew how to protect people’s rights. The registered manager and staff had received training in the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS).

Individual care plans were kept up-to-date, were person centred and reflected people’s changing support and healthcare needs.

Staff told us they had completed training in safe working practices. We saw staff supported people and their relatives with empathy, consideration and kindness. People’s dignity and privacy was respected and promoted. Staff were responsive to people’s individual need, choice and preferences.

People living at the service felt safe. The management team and staff understood their responsibilities in safeguarding people. Staffing levels were assessed to support people’s individual needs. People were supported through safe recruitment procedures. Pre-employment checks were undertaken to ensure new staff were safe to work with vulnerable people.

Medicines were managed safely and in line with current regulations and guidance. Staff had received appropriate training to help ensure safe practice. There were systems in place to ensure that medicines had been stored, administered and audited appropriately.

Food provided was of a good quality and catered for people’s individual preferences and needs.

Food and drinks were available to people throughout the day and night.

The philosophy of The Staveley Centre was to develop and provide a safe service to people while remaining involved with the wider community; there was ‘The Bistro’ café and a resident hairdresser.

The provider had a complaints process in place. The provider had systems and checks in place to ensure the service was safe and of good quality. The registered manager promoted an open and inclusive culture at the service. People and their relatives were supported to express their views about the service.

At our visit there were 32 people living at the home receiving long and short term care, including for dementia. We were not able to hold discussions with many people about their care because of their medical conditions, such as dementia or end of life needs. However, we observed and spoke with staff interacting and supporting them and spoke with some of their relatives.

We found people’s consent was properly obtained for their care; and that they experienced care and support that met their needs and protected their rights and from staff who were well supported and trained. One person told us, “Staff, are brilliant, they know how to engage properly with people and support them with their dementia; it’s always a calm, happy atmosphere here.” Another person said, “The home is always clean and pleasant for people to be in.”

We also found that the home was clean and hygienic, with systems to protect people from the risks of infection and from those associated with unsafe medicines practice.

At the time of our inspection we found that care and accommodation was being provided over two floors. Access to the care area was restricted by a security system.

We found that people with dementia were being cared for on a sixteen bedded unit on the ground floor. The first floor had five intermediate care beds, three reablement beds, four beds for respite care and four long term beds.

During our inspection we spoke with two people who used the service, one relative and five members of care staff. One person told us 'they look after us properly here. The food is not bad and I can do what I want within reason. I can watch television or read if I want. There was singing this morning, I enjoyed it. The staff are polite and caring. 'Another person said 'I couldn't be better looked after. It's a home from home. I will miss being here. One hundred out of one hundred for everything.'

One staff member told us 'I have worked for twenty years as a carer, I love coming here. I have time to care, it's not like a job. I am proud to work here'. Another member of staff said that 'there is too much paperwork, I can't get out of the office for paperwork. I am confident that any safeguarding issues are dealt with appropriately'.

The relative we spoke to with us that 'I am happy with the standard of care here. **** has been here two years and is very settled.'