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The Shelley Care Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 4 March 2021

About the service

The Shelley Care Home is a residential care home providing personal and nursing care to 28 people with a range of health and support needs, including Parkinson’s disease and people living with dementia. The service can support up to 32 people.

People’s experience of using this service and what we found

People’s risks were not fully assessed to protect them from the risk of avoidable harm. Some actions were taken where people were at risk of falls, but systems were not sufficiently robust to mitigate risks. Medicines prescribed for people living with Parkinson’s disease were not always administered in a timely manner. Infection prevention and control systems had been implemented and were effective.

Auditing systems had not identified all the issues found at this inspection and were not effective in driving improvement to the care people received. The system used to monitor accidents did not correspond with records relating to accidents and incidents, including falls, that people had sustained. A medicines audit did not include how medicines that were required to be refrigerated had been monitored. The majority of staff had not received Parkinson’s disease awareness training or in the management of falls which would enable them to support people's needs appropriately.

People were happy living at the home and felt safe. One person commented, “Yes I feel safe thank you. The staff are always courteous and kind. They are always here and if I need them I can call my bell”. People could attend residents’ meetings to share any concerns or to make suggestions about how the home was run. Staff told us they enjoyed working at the home and felt supported by management.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was Outstanding, (last report published 18 July 2018).

Why we inspected

This inspection was prompted due to information of concern received regarding infection control, staffing, and the management of the home. A decision was made for us to inspect and examine those risks. As a result, we undertook a focused inspection to review the key questions of safe and well led only.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.

We have found evidence that the provider needs to make improvements. Please see the Safe and Well Led sections of this full report.

You can see what action we have asked the provider to take at the end of this full report.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

The overall rating for the service has changed from Outstanding to Requires Improvement. This is based on the findings at this inspection.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 4 March 2021

The service was not always safe.

Details are in our safe findings below.

Effective

Outstanding

Updated 4 March 2021

Caring

Outstanding

Updated 4 March 2021

Responsive

Outstanding

Updated 4 March 2021

Well-led

Requires improvement

Updated 4 March 2021

The service was not always well-led.

Details are in our well-Led findings below.