The Care Quality Commission
  • Care Home
  • Care home

Archived: Shapland Close

Overall: Requires improvement read more about inspection ratings

Scope Shapland Close, Wilton Road, Salisbury, Wiltshire, SP2 7EJ (01722) 419777

Provided and run by:
Scope

All Inspections

7 and 12 May 2015

During a routine inspection

Shapland Close is a care home which provides accommodation and personal care for up to eight people with learning disabilities and additional physical disabilities. At the time of our inspection five people were living at Shapland Close.

This inspection took place on 7 May 2015 and was unannounced. We returned on 12 May 2015 to complete the inspection.

There was no registered manager in post 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 and associated Regulations about how the service is run. The manager reported that she would be submitting an application for registration in the month following the inspection.

Medicines were not always managed safely and there was a lack of clear information about how some medicines should be used.

Most areas of the home were clean. However, we found that some dirty staining on a wall, pointed out on the first day of the inspection, had not been addressed when we returned five days later.

Staff did not demonstrate a good understanding of the principles of the Mental Capacity Act 2005 (MCA) and how the Deprivation of Liberty Safeguards (DoLS) worked. Capacity assessments for people did not follow the principles of the MCA.

Some staff spoke with people who use the service using language that did not respect people as adults.

People who use the service and relatives were positive about the care people received and praised the staff and management. Comments from relatives included, “I feel that (my relative) is safe there” and “(my relative) is safe there and staff provide good care”.

There were systems in place to protect people from abuse and harm and staff knew how to use them. Staff understood the needs of the people they were supporting.

Staff received training suitable to their role and an induction when they started working for the service. They demonstrated a good understanding of their roles and responsibilities, as well as the values and philosophy of the service.

The provider assessed and monitored the quality of care and was in the process of addressing shortfalls in the service provided.

We found breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we told the provider to take at the back of the full version of this report.

13 March 2014

During an inspection looking at part of the service

At our last inspection in December 2013 we found care and treatment was not always planned and delivered to ensure people's safety and welfare. The provider had not ensured people were protected against the risks of acquiring health care associated infections. This was because the provider did not have appropriate arrangements in place to manage infection control. The provider sent us an action plan to show how they planned to address these concerns. This inspection was to follow up on the shortfalls identified and actions subsequently taken by the provider.

The registered manager was on secondment to another Scope service at the time of our visit. An acting manager was covering the post until July 2014. The acting manager was not currently registered with CQC.

10 December 2013

During a routine inspection

People were unable to verbally communicate with us due to their complex needs, and so we spoke to staff about the experiences of the people they supported, and observed the interactions between them. Staff were kind and friendly and people appeared very comfortable with the staff who supported them. The atmosphere in the home was happy and relaxed.

Most of the care and support plans were comprehensive and started with the objectives of the plan, followed by specific sectioned headings for, 'about me', safeguarding, mental capacity, personal care, healthcare, medication, finance, reports and reviews, correspondence, risk assessments and a hospital passport. However, we found that for one person this was not in place in relation to emergency equipment. This increased the risk of inappropriate or unsafe care for this person.

Most areas of the home were clean and well maintained. However, we identified that some areas of the home had not been appropriately cleaned. People were not consistently protected from the risk of infection because infectious hazards were not identified and appropriate guidance was not always available.

We saw that there were several comprehensive audit, checking and monitoring tools in place, which incorporated all aspects of the running of the service.

26 February 2013

During a routine inspection

The majority of the people living at Shapland close were unable to share their views of the service with us, due to their complex needs. We observed how people responded to staff and the interactions between them.

We spoke with two relatives and the staff on duty. The relatives we spoke with were positive about the service provided to their family members. One relative said 'it has all gone very well, we are pleased.' Another relative told us 'they keep us informed. The daily diary is very useful so we can see what our family member has been doing.'

We saw staff kept people informed and offered them choices throughout our visit. Staff spoke to people in a way that was respectful and friendly.

People experienced different activities and attended social meetings.

We saw consideration had been given to end of life plans. People's wishes were recorded. One member of staff showed us they were currently completing an online training module on 'end of life care.'

We saw medicine records were well maintained and there were no gaps.

Relatives we spoke with said they did not have any concerns relating to the

numbers or competencies of the staff at Shapland close.

All the relatives we spoke with said 'we have no complaints what so ever."

25 August 2011

During an inspection looking at part of the service

At our last review of this service we identified a number of shortfalls in relation to the meeting of some of the essential standards.

We found that improvements were needed in recording, the daily supervision of staff, the maintenance and cleanliness of some equipment and the management of complaints.

An action plan had subsequently been provided and we undertook this review to monitor the progress towards compliance.

During this visit we observed that improvements had been made and that the service was now compliant in relation to the areas were concerns had been identified.

We found that a new care planning system, which involves regular recording and reviewing, had been implemented and was being monitored for consistency by the senior staff. We also found that the recording of daily routines had been improved and improvements in relation to medication recording had been put into place.

Improvements have also been made to the management of the cleaning of the service and some items of equipment had been replaced.

Staff we spoke to were positive about the changes and improvements and told us they thought they were working well as a team and receiving good levels of support and regular supervision from the senior staff.

18 February 2011

During a routine inspection

People in Shapland Close could not tell us about the care they received, so we asked relatives to comment. One relative told us 'the person is in the best place they can be', another 'they do the best they can'. One person told us 'they do tell me immediately if their condition changes' and another 'yes it does meet their needs', about the person's care plan. A relative told us that their relative's room was always clean.

We observed a care worker supporting a disabled person with very limited communication, explaining to them where they were going, and helping them to put on their coat, explaining all the time how they were doing this and why. We also observed a care worker, who was performing chores in the kitchen involve the person, chatting to them about what they were doing and about what they would be doing next.

Some relatives were concerned that staff did not always follow care plans and that not all records were kept in full. We found some cases where this had happened.

We received comments about the cleanliness and suitability of equipment. Some equipment was in a condition where it could not be cleaned easily and we observed instances were attention was needed to infection control, cleanliness and maintenance.

Some relatives told us there were concerned about a lack of consistent management of the home over the past few years. A new manager has been appointed and is working to improve quality of care for people. They are applying to be registered with us to be the home manager.