9 May 2022
During a routine inspection
About the service
Shirlett Close is a residential care home providing personal care for up to four people. Shirlett Close also provides personal care to people living in their own homes. At the time of the inspection four people lived at Shirlett Close and two people were provided support in their own homes.
People’s experience of using this service and what we found
Right Support
People had limited opportunities to leave the service and pursue social interests within their local community. There were missed opportunities to engage people in meaningful activities within the home and people were not supported to try new things or develop new skills. People’s care records detailed pastime they may like to take part in, but these activities were not always encouraged. There was limited guidance to inform staff how to enrich people’s lives through positive engagement and meaningful activities. People’s goals and aspirations were not always identified with people or those involved in their care. Where a goal had been identified, staff did not always know how to support the person to achieve their goal. Progress in reaching their goal had not been reviewed.
Right Care
People were not always involved in making decisions about their care. People were not always given information in a way they could understand. There was limited consideration given to the varying ways people could be empowered to make everyday choices using different communication methods.
Right culture
The service did not always have a person-centred culture which empowered people to achieve their goals and aspirations. Systems were not effective in identifying if people were receiving person centred care in line with Right Care, Right Support, Right Culture. There was insufficient recording and reviewing of behaviours where a person had experienced distress.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Why we inspected
We undertook this inspection due to a change in provider. We also wanted to assess that the service is applying the principles of Right Support, Right Care, Right Culture.
Rating at last inspection
This service was registered with us on 26 July 2019 and this is the first inspection. The last rating for the service under the previous provider was good, published on 6 January 2017.
Enforcement
We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.
We have identified breaches in relation to person centred care and governance at this inspection.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and 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.