Shipley Manor Care Home

On this page

• Overview
• Learning culture
• Safe systems, pathways and transitions
• Safeguarding
• Involving people to manage risks
• Safe environments
• Safe and effective staffing
• Infection prevention and control
• Medicines optimisation

Safe – this means we looked for evidence that people were protected from abuse and avoidable harm.

At our last assessment we rated this key question Good. At this assessment the rating has remained Good.
 

This service scored 72 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Learning culture during this assessment. The score for this quality statement is based on the previous rating for Safe.

We did not look at Safe systems, pathways and transitions during this assessment. The score for this quality statement is based on the previous rating for Safe.

We did not look at Safeguarding during this assessment. The score for this quality statement is based on the previous rating for Safe.

We did not look at Involving people to manage risks during this assessment. The score for this quality statement is based on the previous rating for Safe.

We did not look at Safe environments during this assessment. The score for this quality statement is based on the previous rating for Safe.

We did not look at Safe and effective staffing during this assessment. The score for this quality statement is based on the previous rating for Safe.

We did not look at Infection prevention and control during this assessment. The score for this quality statement is based on the previous rating for Safe.

There were some areas of medicines management that required improvement to ensure people consistently received their medicines safely and as prescribed.

Although some records were in place for time-specific medication, this was not consistently applied across all medications. This posed a risk of missed or delayed doses, particularly for time-critical medicines. We found there was no care plan in place for high-risk medication such as Clopidogrel, meaning staff may not be fully informed of the associated risks or the need for monitoring, which could compromise the safety of people receiving this medication. Controlled Drugs (CDs) were generally well maintained; however, the CD register included entries that had been crossed out. This is not in line with best practice and could impact the integrity and accuracy of records.

Thickening powder, prescribed to ensure safe swallowing, was recorded for administration by senior staff but not consistently documented in daily notes by all staff. There was no complete robust record of all administration, which meant we could not be assured that people were receiving drinks with the correct consistency, potentially putting them at risk of aspiration.

Medication audits had been completed but had not identified the concerns noted above.

However, there were some positive practices. As required (PRN) protocols were in place, clearly documented with variable doses, and directions to staff to monitor and record effectiveness after administration. Medicines were stored safely, with appropriate temperature checks of both room and fridge, with all open liquids having date opened recorded.

The provider responded immediately to the shortfalls identified and implemented corrective actions. We found no one had been harmed because of these shortfalls.