Stoneygate Ashlands

We reviewed six quality statements in the Safe domain. Improvements had been made since our last inspection in relation to safe and effective staffing. Staff were no longer being deployed across two services on the same site. Staff response times to people's request for support had overall improved although there was some mixed feedback regarding staff response times at night being delayed. A concern we identified over the deployment of staff at mealtimes was addressed during the assessment.

Risk assessments and care plans were detailed, which meant staff had access to clear guidance on how to support people safely. Systems and processes for monitoring and responding to risk were robust. Processes and training of staff in safeguarding people from harm and abuse supported people to receive safe care. People’s health and well-being was promoted and guidance followed from external partners and other professionals to ensure people's changing needs were met.

Staff were recruited safely and trained effectively to ensure they had the skills and knowledge to deliver safe care. People's medicines were administered safely and they were protected from the risk of and spread of infection. The environment was safely maintained.

We reviewed four quality statements in the well-led domain.

We identified the service had made improvements following our previous inspection however, shortfalls remained. Systems and processes to monitor the service needed to be fully embedded such as the providers internal auditing process arrangements together with some audits which lacked detail. People were provided with person centred care although additional improvement to the provision of activities for people cared for in their bedrooms required attention based on the feedback we received.

The provider and registered manager were open and transparent with the assessment process, accepted our findings, and immediately acted to resolve the issues identified during the inspection.

There was an inclusive and positive culture and leaders were visible in the service offering support and guidance to staff. Managers were accessible to people and their relatives.

The service had positive relationships with other stakeholders and visiting health professionals were complimentary about the leadership and their joint working arrangements.

Staff said they received support from managers in their roles and could speak up if they had any concerns.