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Inspection Summary


Overall summary & rating

Good

Updated 16 April 2020

About the service

Sherbourne Grange is a residential care home providing accommodation and personal care to 14 people who have a learning disability, autistic spectrum disorder or physical disabilities at the time of the inspection.

The home is two large specifically adapted buildings merged into one bigger than most domestic style properties. It was registered for the support of up to 16 people. This is larger than current best practice guidance. However, the size of the service having a negative impact on people was mitigated by the building design fitting into the residential area and the other large domestic homes of a similar size. There were deliberately no identifying signs, intercom, industrial bins or anything else outside to indicate it was a care home.

The service applied the principles and values of Registering the Right Support (RRS) and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

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

The provider had safeguarding systems and processes in place to keep people safe. Staff knew the risks to people and followed the assessments to ensure they met people’s needs. The number of experienced and knowledgeable staff was sufficient to meet people's needs. Staff followed the infection control procedures the provider had in place. Incidents and accidents were monitored, and lessons were learned when things went wrong.

People’s needs and choices were assessed, and care was reviewed regularly. Care plans identified the involvement of people in the care they received. The consistent staff team received regular refresher training. People were supported to eat healthily and maintain fluids. People were supported to access healthcare services and activities to promote their wellbeing. People were also supported to access healthcare services as they needed.

Care was person-centred with people's privacy, dignity and equality maintained. People were involved in their care and supported to express their views. The staff made every effort to get to know people and understand what was important to them.

Care was personalised, and people were supported to effectively communicate their needs and preferences. The provider had a complaints procedure in place to manage and respond to any complaints they may receive. People were supported to maintain relationships with their families and to engage in activities that interested them.

Quality assurance systems were robust with spot and competency checks completed regularly. The registered manager understood their legal responsibilities in regard to safeguarding and notifications. The provider worked with other professionals such as district nurses and GP's to ensure care 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.

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 12 September 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.

Inspection areas

Safe

Good

Updated 16 April 2020

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 16 April 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 16 April 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 16 April 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 16 April 2020

The service was well-led.

Details are in our well-Led findings below.