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Inspection Summary

Overall summary & rating


Updated 27 July 2019

About the service

Shipdham Manor is a residential care home providing personal care and accommodation in an adapted building over two floors. At the time of the inspection there were 41 people living within the home, many of whom were living with dementia.

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

People using the service and their relatives was unanimously complimentary about the care and life within Shipdham Manor. All the people we spoke with felt safe and recommended the service.

Staff were aware of how to safeguard people from potential abuse. Systems were in place to ensure risks were suitably assessed and mitigated for. The provider had robust recruitment procedures and had ample staff to ensure people felt safe and well cared for. The provider was thorough when reviewing incidents to ensure appropriate lessons were learnt.

People’s health and well-being were well supported and monitored. People received their medicines when they should and were enabled to access healthcare whenever required. People’s nutritional intake was well supported. Staff were well trained and understood the individual care needs and preferences of people living in the service. The home compromised of an old manor house with a purpose-built extension. It was well adapted and dementia friendly, with a variety of accessible communal spaces and garden. There were some aspects of the home that required updating but the home already had an action plan to address these issues.

All the people we spoke with were very complimentary about the kindness of staff. We observed warm and compassionate care which demonstrated strong relationships and understanding of people’s needs and preferences. People’s privacy and independence were promoted. Staff had time to spend with people and were not rushed when providing support. People were regularly asked for feedback on the care and support they received. 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.

People had individualised care plans which supported greater understanding of the person’s life and preferences. There was a wide range of activities which promoted health and well-being. These included regular sessions in exercise, arts and crafts, music, pet therapies and outings. The provider was pro-active in seeking and responding to any concerns or complaints people may have had about the service. The provider was accredited with a nationally recognised scheme which promoted quality end of life care. People had been consulted regarding their end of life care wishes when appropriate.

The feedback from both staff and people using the service regarding the registered manager was unanimously positive. The registered manager was seen to be accessible, compassionate and knowledgeable. There were good quality assurance systems in place and people were regularly consulted on the quality of care provided. Staff were provided with appropriate support and career progression encouraged. The team spirit was strong and staff retention was consequently high. The provider was proactive in encouraging best practice and considering service development.

For more details, please see the full report which is on the CQC website at

Rating at last inspection

The last rating for this service was ‘Good’ (published 31 October 2016)

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas



Updated 27 July 2019

The service was safe.

Details are in our safe findings below.



Updated 27 July 2019

The service was effective.

Details are in our effective findings below.



Updated 27 July 2019

The service was caring.

Details are in our caring findings below.



Updated 27 July 2019

The service was responsive.

Details are in our responsive findings below.



Updated 27 July 2019

The service was well-led.

Details are in our well-Led findings below.