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The Shires Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 31 August 2019

About the service

The Shires is a residential care home providing personal and nursing care for up to 11 people with mental health needs within one large adapted building. At the time of our inspection, there were 10 people living at the home.

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

Staff training provision did not fully reflect the needs of the people living at the home. This included a lack of basic mental health training for care staff. The arrangements for the clinical supervision of the registered manager and other nurses were not sufficiently robust. The provider’s quality assurance systems and processes were underdeveloped and inconsistent, limiting their ability to monitor and improve the quality and safety of people’s care.

Staff understood how to recognise and report any abuse involving the people who lived at the home. The risks associated with people’s individual care and support needs had been identified, recorded and plans put in place to manage these. Staffing levels ensured people’s individual needs could be met safely. The provider adhered to safe recruitment practices and checked the suitability of prospective staff. The provider took steps to protect people from the risk of infections.

People’s individual care needs were assessed and reviewed in order to deliver care and support that achieved positive outcomes for them. People were involved in choices about what they ate and drank, and they had support to maintain a healthy diet. Staff worked effectively with a range of community health and social care professionals to ensure people’s care and health needs were met. 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.

Staff treated people with kindness and compassion. People were encouraged to have their say about the service and to participate in decision-making that affected them. People were treated with dignity and respect at all times. Staff recognised the importance of promoting equality and diversity in their work and avoiding any form of discrimination.

The service was responsive to changes in people’s needs, working effectively with community health and social care professionals to address these. People were involved in developing their care plans, which were read and followed by staff. People had support to participate in a range of social and recreational activities, and to take advantage of job opportunities. People knew how to raise any concerns or complaints about their care. People’s wishes and choices regarding their end of life care were acted on.

The registered manager promoted an open and inclusive culture within the service, engaging well with and encouraging the involvement of people, staff and community professionals. Staff were clear what was expected of them and had the management support they needed to succeed in their job roles.

Rating at last inspection

The last rating for this service was Good (report published 8 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

Safe

Good

Updated 31 August 2019

The service was safe.

Details are in our Safe findings below.

Effective

Requires improvement

Updated 31 August 2019

The service was not always effective.

Details are in our Effective findings below.

Caring

Good

Updated 31 August 2019

The service was caring.

Details are in our Caring findings below.

Responsive

Good

Updated 31 August 2019

The service was responsive.

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 31 August 2019

The service was not always well-led.

Details are in our Well-led findings below.