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Inspection Summary


Overall summary & rating

Good

Updated 14 February 2019

We inspected this service on 13 December 2018. This inspection was unannounced.

The last inspection took place on 11 September 2017 when the provider for this location was Bupa Care Homes (CFH Care) Limited. This was the first inspection of the service since the provider changed to HC One Oval Limited.

A comprehensive inspection took place during September 2017 and the overall rating awarded was ‘Requires Improvement.’ The provider was meeting the regulations that we checked, however improvements were needed to ensure the service was ‘safe’ and ‘responsive’. Staffing levels were not always sufficient to consistently meets the needs of the people using the service. Improvements were also needed to ensure peoples well-being was promoted through social activities. At this inspection we saw that there were sufficient staffing levels to support people and people were given the opportunity to take part in activities. However further improvements were required under 'safe' to ensure management of medicines was safe.

Shelton Lock Care Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Shelton Lock Care Home is situated in the Shelton Lock area of Derby. Shelton Lock provides long term and respite care for adults with a range of physical nursing needs, including palliative and end of life care and respite care for adults. The home is registered to provide personal care and accommodation for up to 40 older people and younger adults. At the time of our inspection there were 30 people using the service

A registered manager was 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.

The management of medicines was not always safe. We found that the medication trolley was not locked and left unattended. In the clinic room we saw medicines were left on the side and not locked away securely.

People were protected from the risk of abuse. People told us they felt safe with the care provided by staff. Staff had received training in safeguarding people and knew how to report their concerns including external agencies such as the local authority.

People told us they felt safe. Sufficient staff were employed to support people. Recruitment procedures were thorough to ensure prospective staff were suitable to care and support people at Shelton Lock Care Home.

Risks were managed according to individual need and we saw staff support people safely and appropriately with transfers.

People were protected by the provider's infection control procedures, which helped to maintain a clean and hygienic environment.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible.

People were supported to maintain their health and well-being and had access to healthcare professionals such as GP's when required. People were supported with their dietary needs.

People were cared for by staff who were kind and caring. Staff respected people's privacy and dignity. People were supported with their independence by staff. Visitors were welcomed at Shelton Lock Care Home.

The provider’s complaints policy and procedure were accessible to people who used the service and their representatives. People knew how to make a complaint and felt the provider would take action to address any concerns.

Quality assurance processes were in place to monitor the quality of care delivered. The registered manager worked in partnership with external health and social care professionals to ensure people's health and social care

Inspection areas

Safe

Requires improvement

Updated 14 February 2019

The service was not consistently safe.

The management of medicines was not always safe. People were safeguarded from avoidable harm because staff knew what action to take if they suspected abuse. Recruitment procedures were robust to ensure staff suitability to work with people was checked. Risks to people's health and welfare were assessed. There were sufficient staff to support people. People were protected against the risk of infection.

Effective

Good

Updated 14 February 2019

The service remains effective.

Caring

Good

Updated 14 February 2019

The service remains caring.

Responsive

Good

Updated 14 February 2019

The service was responsive.

People were supported to participate in activities and hobbies they enjoyed. The provider's complaints policy and procedure was accessible to people and their representatives. People received personalised care. People could be assured they would receive appropriate end of life care.

Well-led

Good

Updated 14 February 2019

The service remains well-led.