Stonesby House LTD

The home is divided into two separate units, each of which has separate adapted facilities.

Although improvements had been made to the infection control procedures, we found some areas that still needed to be addressed to ensure people were safe from the spread of infection. Further improvements were needed to the systems in place to administer medicines safely to make sure people received their medicines safely and as prescribed.

Improvements had been made to the provider's governance systems and they carried out a variety of internal audits to check the quality and safety of the support people received. However, these needed to be strengthened because they were not always effective at identifying areas where improvement was needed.

We found numerous items of food that were out of date and some foods that had been opened but with no opening date recorded on them. Pre-cooked meals had been frozen with no date of when they were frozen. Environmental audits had failed to identify that the first aid kit contained out of date products such as bandages and a burn shield.

Staff interactions had improved, and we saw some staff who had a good rapport with people. However, we found that many staff interactions were still task focused and lacked a person-centred approach.

Systems in place to safeguard people from avoidable harm had been reviewed and enhanced to ensure people were protected. Staff told us they had completed training about safeguarding and whistle blowing to support people to stay safe. Staff had completed Non-Abusive Psychological and Physical Intervention (NAPPI) training to ensure they had the knowledge, skills and confidence to prevent, decelerate, and deescalate crisis situations so that restrictive practices could be avoided.

The provider and the registered manager had improved their recruitment procedures to ensure people were protected from staff that may not be suitable to support them. Systems in place to assess people's needs and determine staffing numbers had been reviewed and improvements made. We found there were sufficient staff to meet people's needs.

The systems in place regarding the management of Legionella had improved. We saw that some staff had completed training around Legionella management and records of water temperatures were in place.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the guidance CQC follows to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.

The service was not able to fully demonstrate how they were meeting some of the underpinning principles of Right support, right care, right culture. People did not always receive person-centred care and treatment that was appropriate to meet their needs and reflected their personal preferences. Their care and support did not always promote enablement, independence, choice and inclusion.