Shawside Care Home

Shaw Side Care Home provides residential and nursing care for up to 150 people. Accommodation is across five separate houses which are set within extensive grounds. At the time of inspection 120 people were living at the home. We inspected three of the houses – Oldham, Miller and Royton House.

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

Care was person-centred and people's care records described their likes and dislikes and how they wished to be supported. However, provision of meaningful activities was limited, and people had very little to do during the day. Staff commented, and we observed during our inspection, that they were extremely busy, with little time to socialise with people who used the service.

People told us they felt safe living at Shaw Side Care Home. The staff recruitment process was robust. The home looked clean and staff followed good infection control practices. Equipment safety checks were up to date. Medicines were managed safely. However, improvement was needed in the management of fluid thickeners.

We have made four recommendations. These are in relation to the provision of activities, the completion of care charts, staffing numbers and the management of fluid thickeners.

There had been a very recent change in the management of the service, with a new manager and clinical services manager employed. Auditing and governance systems were in place. However, these had not identified inconsistencies in the completion of some care charts. We could not be sure these had always been completed accurately.

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 (report published 6 March 2020).

Why we inspected

The inspection was prompted in part by concerns we received in relation to the cleanliness of the home and staffing levels. As a result, we undertook a focused inspection to review the key questions of safe, responsive and well-led only. We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

We looked at infection prevention and control measures under the safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

We found evidence the provider needs to make improvements. Please see the responsive and well-led sections of the full report. The overall rating for the service has changed from good to requires improvement. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Shaw Side Care Home on our website at www.cqc.org.uk.

Follow up

We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Shaw Side Care Home provides residential and nursing care for up to 150 people. Accommodation is provided across five separate units or ‘houses’. At the time of inspection 130 people were living at the home.

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

We have made a recommendation about involving people and/or their relatives in the care planning and review process. People received personalised care which met their needs and wishes. However, people or their relatives involvement had not been captured within care files, nor did we see evidence bi-annual reviews had been carried out as per company policy. The home provided a range of activities during the week, though there was some question as to whether all people’s needs and interests had been catered for. People had not needed to complain and were happy with their care. Where complaints had been made, these had been addressed promptly.

People told us they felt safe living at the home. Staff had all received training in safeguarding and knew how to identify and report concerns. Enough staff had been deployed to meet people’s needs and keep them safe. The provider carried out checks and assessments to ensure risks to people had been identified and managed appropriately.

Staff received sufficient training and support to carry out their roles. People received nutritional support in line with their assessed needs. Their health needs were also met via access to range of healthcare and medical professionals. 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 found staff to be kind, caring and provided support in line with their wishes. People were treated with dignity and respect and their independence promoted as much as possible. People and their relatives views and opinions were gathered via meetings and annual surveys. The home also had an open door policy and welcomed feedback at any time.

The home was well run, with a clear leadership system in place. Staff all enjoyed their roles and felt supported, with good practice recognised through an award and recognition scheme. The home used a range of systems to monitor the quality and effectiveness of the care and support provided. Action plans had been generated to address any issues.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

This is the first inspection since the home was re-registered in January 2019 due to a change in the provider.

Why we inspected

This inspection was part of our scheduled plan of visiting services to check the safety and quality of care people received. Newly registered services or providers are inspected within 12 months.

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.