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Inspection Summary


Overall summary & rating

Good

Updated 10 September 2019

Shinewater Court accommodates up to 36 people in a purpose built service. Providing care and support for people with a range of disabilities including multiple sclerosis, cerebral palsy, muscular dystrophy, spina bifida and other disabilities resulting from accidents or stroke. Accommodation consists of large individual rooms in the main building and 13 adjoining ground floor flats. All areas are wheelchair accessible.

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

People were at the heart of the service. Staff promoted people's right to make choices in every aspect of their lives and actively supported them to maintain their independence.

The staff and the management team provided people with support that was based on their individual needs, goals and aspirations. Therefore, care was tailored to meet people’s needs.

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 were treated with dignity and respect in a way that supported and valued them as individuals. The registered manager and all staff, whatever their role worked hard to ensure people received the care they needed and lived full and meaningful lives. People's individuality was respected and embraced. Ensuring people received person centred care that met their needs and preferences was embedded into practice.

There was a high level of satisfaction with the service and the ethos at Shinewater Court was one of empowering people to maintain their independence and ensuring every person had a voice.

Risks to people’s health and safety had been identified and actions were in place to ensure risk was minimised. Staff were aware of the actions to take if they thought anyone was at risk of harm or discrimination. Any concerns identified had been reported to appropriate external professionals. A complaints procedure was in place and people were aware of the process. People told us they would speak to staff if they had any concerns at all.

Medicine procedures and systems were robust with staff competencies assessed to ensure high standards were maintained. Suitable systems were in place to prevent and control infection. Accidents and incidents were documented and reported appropriately. Any actions or lessons learned were taken forward to continually improve the service provided.

Recruitment processes were robust and people living at Shinewater had opportunity to be involved in the interview process and give feedback on prospective employees. Staffing numbers were assessed dependant on people’s needs. Regular care reviews were completed, and the service worked closely with people, relatives and other health professionals to ensure consistent, person centred care was provided.

Staff had access to a full range of training and support to ensure they could meet people’s complex needs. A consistent staffing group meant staff knew people well and understood their needs and preferences. Staff were supported to develop, and achievements were recognised.

People were encouraged to continue hobbies and interests that were important to them and supported to maintain relationships with friends and family.

People’s needs, and choices were well documented and understood by staff. It was evident that there was a close relationship between people and staff. People were involved in the planning of care and any changes to the way care and support was delivered. People’s communication needs were identified and recorded in care plans with specific methods and communication tools used to facilitate communication with people.

People were supported to have a varied and nutritious diet with healthy options provided and encouraged. People’s health and weight was monitored, and referrals made to other agencies if any issues were noted.

The registered manager and staff placed emphasis on per

Inspection areas

Safe

Good

Updated 10 September 2019

The service was safe

Effective

Good

Updated 10 September 2019

The service was effective

Caring

Good

Updated 10 September 2019

The service was caring

Responsive

Good

Updated 10 September 2019

The service was responsive

Well-led

Good

Updated 10 September 2019

The service was well-led