We carried out this comprehensive inspection on 13 and 14 February 2017, the inspection was unannounced.

Our last comprehensive inspection of this home was carried out 22 and 23 October 2014. At that inspection we found breaches of legal requirements because medication had not been managed safely and the systems used to monitor the safety and quality of the service had not ensured that people were protected from the risk of harm.

We carried out a focused inspection of the service on 7 May 2015 to check the actions the provider had taken in response to the concerns we had identified at the comprehensive inspection. At the focused inspection we found that the provider had made the required improvements. The provider was meeting legal requirements and we assessed the quality rating for the service as “good”.

When we carried out this comprehensive inspection in February 2017 we saw that the actions taken to improve the service had been sustained and people continued to receive a good service.

Staveley House provides accommodation and personal care for up to 40 people. The home provides permanent accommodation and short-term respite care. The home mainly provides support for older people and people who are living with dementia.

Staveley House is owned and operated by the Abbeyfield Furness Extra Care Society Limited, through a volunteer executive committee and is a member of the national Abbeyfield charity. The home is on the edge of a residential housing estate, on the outskirts of Dalton-in-Furness, Cumbria. It is a purpose built two-storey building, with a range of equipment to assist people to move around the home. There were 36 people living in the home at the time of this inspection.

There was a registered manager employed in the home. 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 and associated Regulations about how the service is run.

People who lived at Staveley House received a high quality of care that met their needs and took account of their preferences about their support.

The atmosphere was caring and inclusive. Staff were patient, kind and caring. They spent time with people and included them in decisions about their care.

Visitors were made welcome and people were able to see their friends and relatives as they wished.

People were provided with a range of activities that they enjoyed. They chose whether to take part in the activities offered and their wishes were respected.

There were enough staff to care for people. The staff were well trained and competent to carry out their duties and to ensure people were safe living in the home.

People enjoyed the meals and drinks provided. Mealtimes were pleasant, sociable occasions and people received support, as they needed, to enjoy their meals.

The home was cleaned to a high standard and there were no unpleasant odours. People were provided with a clean and comfortable place to live.

People’s rights were respected. The management team in the home understood their responsibilities under the Mental Capacity Act 2005. People consented to their care and the choices they made were respected.

Medicines were handled safely. People received their medicines in a safe way and as their doctors had prescribed. People were supported to access appropriate services to maintain their health.

People who lived in the home and their relatives valued the service provided. They were asked for their views and action was taken in response to their feedback to further improve the service.

The home was well managed. People knew the management team and could speak to them as they wished. There were good systems for the managers and executive committee to oversee the quality and safety of the service.

We carried out an unannounced comprehensive inspection of this service on 22 October 2014 at which breaches of legal requirements were found. This was because medication was not managed safely and the systems used to monitor the safety and quality of the service had not ensured that people were protected from the risk of harm.

After the comprehensive inspection, the provider wrote to us to say what they would do to meet legal requirements in relation to the breaches. We undertook a focused inspection on the 7 May 2015 to check that they had followed their plan and to confirm that they now met legal requirements.

This report only covers our findings in relation to these topics. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Staveley House on our website at www.cqc.org.uk.

Staveley House is a care home and provides accommodation and personal care for up to 38 older people. It is owned and operated by the Abbeyfield Furness Extra Care Society Limited, through a volunteer executive committee and is a member of the national Abbeyfield charity. The home is on the edge of a residential housing estate, on the outskirts of Dalton-in-Furness, Cumbria. It is a purpose built two-storey building, with a range of equipment to assist people to move around the home. There were 35 people living in the home at the time of this inspection.

There was a registered manager employed in the home. 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 and associated Regulations about how the service is run.

At our focused inspection on the 7 May 2015, we found that the provider had followed their plan which they had told us would be completed by the 28 February 2015 and legal requirements had been met.

Everyone we spoke with told us that Staveley House provided a good standard of care. One person said, “This is a good place to live, I like it and I feel very safe here”. Another person said, “All care homes should be like this, we get excellent care”.

People told us that they received the support they needed with their medicines. The procedures for storing and managing medicines had been improved. We found that checks were carried out to ensure medicines were stored at the right temperature and were safe to be used. Staff who were responsible for handling medicines had completed additional training in the safe management of medicines. The records of medicines that had been given to people were correctly completed. Safe systems were in place to protect people from the unsafe use of medicines.

We found that the systems to monitor the quality of the service had improved. Checks had been carried out on the management of medicines to ensure people received their medicines safely and as prescribed by their doctor. Checks had also been carried out on people’s care records to ensure they were reviewed, properly completed and gave care staff accurate information about how to support people. The processes for assessing the safety and quality of the service ensured that people were protected against the risk of harm.

Everyone we spoke with told us this was a good home. People spoke positively about the support provided at Staveley House and about the staff employed there.

Staveley House had an excellent reputation in the local area. When we inspected this home in October 2012, one person told us Staveley House “really is the best home in this area." At our inspection in November 2013 another person said that they had looked around a number of residential homes and they felt that Staveley House was “the best in the area”.

We found that people were asked about how they wanted to be supported and the choices they made about their lives and care were respected. We saw that people had been asked about who they wanted to be able to make decisions on their behalf, if they were unable to do so. This ensured people’s rights were respected.

We saw that people received nutritious meals and were assisted to drink enough to maintain their health and wellbeing. Everyone we spoke with made very positive comments about the meals provided in the home.

People told us they received the support they needed with their medication. One person told us they were able to manage their own medication, with support from the staff in the home. This helped to maintain their independence.

People told us they enjoyed a range of activities and three people said they had enjoyed listening to entertainers who had performed at the home in the weeks before our inspection.

No-one we spoke with raised any complaints about the service provided at Staveley House. People told us they would speak to a member of staff or the home manager if they had any concerns about the care they received. One person said they had made suggestions about how the support provided to their relative could be improved. They said their comments had been listened to and action had been taken in response to their requests.

We spoke with a health care professional who supported some people who lived at the home. They told us that they visited a number of residential care homes in the area and said they thought Staveley House was “one of the best”. They told us they had never noticed anything that concerned them when they visited people at Staveley House and said, “This is a nice home, there is always such a lovely atmosphere and something going on for people to join in with if they want”.

People told us,

“The meals are excellent and there’s always a good choice”,

“All the staff are lovely”

And said, “We’re very well cared for here, you won’t hear anything bad from me”.

People we spoke with told us they were happy living at Staveley House and said they made choices about their lives in the home. They told us the staff in the home treated them with respect and supported them to maintain their independence. No-one we spoke with raised any concerns about the care they received.

People told us:

“It’s a proper home here, you do what you want",

“The staff are wonderful, we’re really well cared for",

And said, “It really is the best home in this area.”

People living in the home and their visitors described the services provided at Staveley House as “Very Good” and “Excellent”.

People said they made decisions about their lives in the home and the staff there treated them with respect.

People told us:

“This is the best home in Furness”

“The staff are lovely”, and said,

“You couldn't fault anything here”.

We carried out this inspection on 22 and 23 October 2014. The inspection was unannounced.

We last inspected this home in November 2013. At that inspection we found the service was meeting all of the regulations that we assessed.

Staveley House is a care home and provides accommodation and personal care for up to 38 older people. It is owned and operated by the Abbeyfield Furness Extra Care Society Limited, through a volunteer executive committee and is a member of the national Abbeyfield charity. The home is on the edge of a residential housing estate, on the outskirts of Dalton-in-Furness, Cumbria. It is a purpose built two-storey building, with a range of equipment to assist people to move around the home. There were 36 people living in the home at the time of this inspection.

There was a registered manager employed at the home. 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 and associated Regulations about how the service is run.

Although people told us that they felt safe in this home, we found that people had been placed at risk because their medicines were not managed safely. One person had been given medicine that was out of date and may have been harmful or ineffective. Another person had not had their medication administered as prescribed by their doctor. This may have made their treatment ineffective.

We found that the staff in the home knew the people they were supporting and people received the care they required to meet their needs. However we found that the registered provider did not have robust systems in place to ensure that people’s care records were reviewed when their needs changed or to check that all support was provided as individuals’ care records stated. We found that one person’s care plan had not been reviewed to take account of advice from their doctor. We also saw that the records for some people stated that they should be weighed each month, but this had not taken place. Although members of the home’s executive committee had carried out their own quality assessments of the service these had not identified the issues we found at the inspection. The systems used to assess the quality of the service were not effective and people were not protected against the risk of receiving unsafe or inappropriate care.

Throughout our inspection we saw that people were treated in a caring way. People were treated with kindness and respect and the staff acted promptly to ensure individuals’ needs were met. People told us the staff took the time to talk with them and said this was important to them.

People told us that the staff in the home knew the support they required and provided this as they needed. People we spoke with, and visitors to the home, said there were enough staff on duty to support people.

People told us they had a choice of meals and said they enjoyed the meals provided in the home. People had been asked for their views about the menus used and we saw these had been changed following the comments from people in the home.

The home had a range of communal areas which people could use on their own or to meet their visitors. People told us that they could see their visitors at the times they wanted and visitors we spoke with told us the atmosphere in the home was always welcoming.

The registered provider had systems in place for people to raise a complaint about the care provided. The registered manager had not received any complaints about the service. We saw that where a concern was raised directly with the staff on duty, prompt action was taken to resolve the issue.

The registered provider used safe systems when new staff were recruited. All new staff completed thorough training before working in the home. The staff were aware of their responsibility to protect people from harm or abuse. They knew the action to take if they were concerned about the safety or welfare of an individual.

The registered manager was knowledgeable about the requirements of the Mental Capacity Act 2005 Code of practice and Deprivation of Liberty Safeguards. This helped to protect the people’s rights.

Staveley House was purpose built as a care home. The home had a range of equipment to meet people’s needs and to promote their independence. We saw that the needs of people had been taken into account when areas of the home were redecorated. The home was well maintained and all areas were clean and free from odours. This helped to protect people’s dignity.

We found breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010. You can see what action we told the provider to take at the back of the full version of this report.