15 December 2015
During a routine inspection
This inspection took place on 15 December 2015 and was unannounced. Our last inspection took place on 26 March 2015 and at the time we found the service was not meeting the regulations associated with the consent to care and treatment. At this inspection, we found that the required improvements had been made
Shenstone Hall provides accommodation and nursing care for up to 36 people. At the time of the inspection, 19 people were using the service. There was a registered manager at the service. 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.
Improvements had been made to ensure the manager and staff sought people’s consent and made decisions that were in their best interest. People told us they were able to make choices about their care and support.
The provider determined staffing levels on the number of people living in the home instead of on an assessment of people’s needs. This meant people sometimes waited longer for support when they needed the assistance of two members of staff. The provider ensured staff were suitable to work with people and staff recognised their responsibilities to keep people same from harm. People received their medicines as prescribed but improvements were needed to the management of medicines .
Further improvements were needed to ensure the systems to assess and monitor the quality and safety of the service were effective in identifying shortfalls and driving continuous improvement.
Staff received an induction and ongoing support which enabled them to meet the needs of the people they were caring for. We saw that staff were kind and caring and respected people’s privacy and dignity and promoted their independence. Staff told us they felt supported by the manager and we saw they took action to address concerns.
People received food and drink that met their nutritional needs and received support from other healthcare professionals to maintain their day to day health. Staff knew people’s needs and preferences and people received personalised support. People were offered opportunities to take part in social activities both in the home and in the wider community. People were supported to maintain the relationships which were important to them.
People and their relatives knew how to make a complaint and were encouraged to express their views about the service and where appropriate, changes were made in response to their feedback.