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Inspection Summary


Overall summary & rating

Good

Updated 7 December 2018

Shrewsbury House is a 'care home'. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Shewsbury House is registered to provide care and support for up to five people. There were five people living at the service at the time of our inspection. We inspected Shrewsbury House on 9 November 2018.

The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

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Sufficient, skilled staff were deployed to meet people’s needs. Robust recruitment processes were in place to ensure only suitable staff were employed. Staff demonstrated a good understanding of their responsibilities in safeguarding people from potential abuse. Risks to people's safety were identified and control measures implemented to keep people safe. Accidents and incidents were reviewed and action taken to prevent them happening again. Safe medicines processes were in place and staff competence in supporting people in this area was assessed. People lived in a safe environment and staff followed safe infection control procedures. The provider had developed a contingency plan to ensure that people's care would continue to be provided in the event of an emergency.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service support this practice. People were supported by staff who received continuous training and supervision to support them in their roles. People lived in an environment which was suited to their needs. Where areas of the service had been refurbished, people’s future needs had been considered. The service worked closely with healthcare professionals to ensure that people's healthcare needs were met. People had access to a varied menu and food of their choosing.

People and staff had developed positive, trusting relationships. Staff treated people with kindness and were aware of their preferences. Staff demonstrated a good understanding of people's communication styles. People were treated with dignity and respect and their independence was promoted.

People's care records were personalised and detailed. Regular care plan reviews were completed with people to ensure their support was provided in the way they wanted and continued to meet their needs. People received support to develop plans regarding the support they wanted when approaching the end of their life. There was a range of activities which were planned with each person in accordance with their interests and preferences. There was a complaints policy in place and people told us they would feel comfortable in raising any concerns.

There was a positive culture and shared ethos throughout the service. Systems were in place to monitor the quality of the service provided and ensure continuous development. The service worked proactively with other agencies to share best practice. People and staff had the opportunity to contribute to the running of the service. CQC were notified of all significant events within the service.

Further information is in the detailed findings below.

Inspection areas

Safe

Good

Updated 7 December 2018

The service remains Good.

Effective

Good

Updated 7 December 2018

The service remains Good.

Caring

Good

Updated 7 December 2018

The service remains Good.

Responsive

Good

Updated 7 December 2018

The service remains Good.

Well-led

Good

Updated 7 December 2018

The service remains Good.