We carried out a review of the data available to us about Shipley Lodge on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Shipley Lodge, you can give feedback on this service.
About the service
Shipley Lodge is a residential care home providing personal and nursing care to 16 people with mental health support needs. On the day of our inspection there were 14 people living there. The home is in a residential area with good access to community facilities.
People’s experience of using this service and what we found
The risks to people’s health and wellbeing were assessed and action agreed with the person to try to reduce them. There were systems to learn from mistakes including the detailed analysis of accidents and incidents. People were supported by staff who understood how to protect them from avoidable harm. There were enough staff deployed to keep people safe in the home and when they chose to go out. People’s medicines were well managed, and staff understood how to reduce the risk of the spread of infection.
Staff received training to enable them to do their jobs well. Assessment ensured people were supported to transition into the service well. People were supported to maintain a healthy diet and encouraged to participate in preparing new choices. Their health and welfare were managed with referrals to other professionals when required. 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 supported this practice.
There were kind and caring relationships between people and staff which were based on dignity and respect. People were central to decisions about the support they received and staff respected their wishes. People had care and support provided which met their preferences. Complaints were handled in line with the provider’s complaints policy. People did not currently receive end of life care.
Staff enjoyed working at the service and felt respected and valued. The provider’s quality assurance processes were effective in identifying potential risks to people’s safety. There was a continued focus on learning, development and improvement.
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 good (published 22 July 2017)
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.
People were protected from the risk of abuse and avoidable harm. Risks associated with care were identified and assessed. Staff had clear guidance about how to meet people’s individual needs. Care plans were regularly reviewed with people and updated to meet their changing needs and preferences. The systems for managing medicines were safe, and staff worked in cooperation with health and social care professionals to ensure that people received appropriate healthcare and treatment in a timely manner.
People were supported and cared for by sufficient staff who were suitably skilled, experienced and knowledgeable about people’s needs. The provider took steps to ensure checks were undertaken to ensure that potential staff were suitable to work with people needing care. Staff received one-to-one supervision and had regular checks on their knowledge and skills. They also received training the provider felt necessary to meet the needs of people at the service.
People were supported to be involved in their care planning and delivery. The support people received was tailored to meet their individual needs, wishes and aspirations. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible, and policies and systems in the service supported this practice.
Systems were in place to monitor the quality of the service provided and ensure people received safe and effective care. These included seeking and responding to feedback from people in relation to the standard of care. Regular checks were undertaken on all aspects of care provision and actions were taken to improve people’s experience of care.
Further information is in the detailed findings below.
Shipley Lodge provides accommodation and support to people with mental health needs. They are registered for 16 people and 14 people were using the service at the time of the inspection.
There was a registered manager in post. 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 2008 and associated Regulations about how the service is run.
People told us they were satisfied with the care and support provided. They had key workers who they worked closely with on their recovery programme and they were treated with kindness and respect. They felt safe using the service and confident to raise concerns or issues if they had any. They also felt confident that staff would treat their concerns appropriately.
Staff understood the needs of the people using the service and were positive about their role and the organisation. Recruitment procedures were robust and appropriate checks were carried out before people started work. Staff received an induction and on going training to ensure they had the knowledge and skills to support people in their care. Staff also received regular supervision and appraisals to ensure their practice was monitored. Managers were taking steps to recruit more staff to ensure they had enough skilled workers to meet the needs of people who used the service. Staff felt supported by managers.
People had their needs assessed and plans were in place to meet those assessed needs. People had their preferences and wishes taken into consideration and these were recorded in their plans. Risks were identified and recorded, plans were created to minimise the risk. People were supported to be as independent as possible; they were supported to access health care appointments as well as access community activities. People were offered choices of meals and drinks as well as the opportunity to prepare meals and drinks independently if they wished. People’s medicines were managed and administered safely following robust risk assessments to promote independence where possible.
People’s consent had been appropriately obtained and recorded. Both staff and the registered manager understood the principles of the Mental Capacity Act and how they might apply to the people who used the service.
There were effective systems in place to assess and monitor the quality of the service. The views and opinions of people who used the service were obtained and used to inform future improvements within the service.
People using the service were able to participate in activities in the community with support where needed, and join in local community activities according to their interests. One person told us, 'We get to go out with our mates and do the things we like to do. Staff help us look after ourselves so we are safe.'
The staff were friendly and professional in their approach and interacted confidently with people. There was a relaxed atmosphere in the home, and people were happy with the support they received. One person told us, 'The staff here are sound and they're always there to support you.'
People told us they felt safe and we saw that systems were in place to identify and report any concerns about people's safety.
The provider had systems to ensure people could raise concerns and improve the quality of the care received.
People told us they were encouraged to be as independent as possible. One person told us 'I am going out to the caf' later today.' Another person told us 'I go home to visit my family, it is three bus journeys but I manage ok.' People told us they were encouraged to keep their own room clean and tidy, and organise their own washing and ironing. During our visit, two people went out with their families, a small group went out after lunch to the local public house, and one person went out to the local caf'.
We asked people if they were involved in the running of the service. They told us they had 'residents meetings' every month. They told us they discussed topics such as what they want for the home, any issues, meals and activities and trips. People also told us they each had jobs to do around the home, such as setting the dining tables and keeping the communal rooms tidy.
We asked people if they knew about their care records. People told us their key worker discussed their care plans with them on a regular basis, and they were aware of the planned care and treatment. People told us they had agreed and signed their care plans. They told us arrangements were in place to manage their health care needs.