We carried out a review of the data available to us about Shipston Lodge on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Shipston Lodge, you can give feedback on this service.
Shipston Lodge is registered to provide accommodation, nursing and personal care for up to 70 older people, including people with dementia. At the time of our visit there were 47 people living at the home.
Shipston Lodge is a purpose-built home with care and support provided across two floors. On both floors there were communal areas, dining areas and lounges, as well as people’s bedrooms which were all ensuite. People could access both floors of the home via a lift or staircase. On the ground floor was a bistro area where people could meet each other and where the provider held a weekly dementia café.
People's experience of using this service and what we found
At our last inspection, we found some improvements were required. People had a plan of care that provided guidance to staff in how to support them. Associated health risks were assessed, but these were not always updated and reviewed immediately when a person's needs changed, or where advice was sought to ensure the risks were not increased. Records did not always correspond with a person's specific requirements. The provider completed a range of audits, but we found during this inspection shortfalls in the service had not always been known or considered by the registered manager or provider.
At this inspection, we found the provider had made positive improvements. Since the last inspection, there was a new registered manager who had spent time adding to and increasing the oversight of the service to improve people’s outcomes.
Additional audits, checks and daily meetings with clinical staff helped ensure people received the right care and support. Heads of department meetings were held frequently which helped ensure the whole service continued to meet people’s needs. New admission information was shared with key staff, so staff were prepared to provide the right care to the person.
Care plans and risks assessments supported people’s needs and plans were personalised to individual needs.
People and relatives were complimentary of staff. Staff knew people well and we saw during our visit, staff quickly responded to situations to help promote good care outcomes.
Staff interacted with people at their pace, unrushed and talking to people with familiarity. Staff were involved and engaged, and we saw they had time to sit and chat to people which helped develop relaxed and supportive relationships.
People were safe because staff understood their responsibility to report any concerns to protect people from the risk of abuse.
The provider had their own staff team and had limited or no reliance on agency staff. This meant staff who supported people knew them well. Staff received training in key areas and staff said they felt supported to pursue additional training and opportunities to increase their knowledge and confidence. Competency checks were completed for staff to ensure they supported people safely with medicines.
Infection control systems ensured the home was clean. Housekeeping staff supported the home and staff wore personal protective equipment to help minimise the risk of cross infection. Maintenance and regular environmental checks on health and safety ensured the home remained safe for people.
People’s overall feedback to us was positive of a service they received that they felt met their needs. People and relatives could attend meetings to share any feedback about the service. Some people and relatives said when they raised some issues the responses were not always timely. However, the general view was the service had improved since our last inspection with the overall management and staff team.
Families and external health visitors were welcomed and there were no restrictions on visiting arrangements.
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 and update
The last rating for this service was requires improvement (published 19 July 2021).
Why we inspected
This inspection was prompted by a review of the information we held about this service and to check the provider had improved certain areas identified at our last visit.
This report only covers our findings in relation to the Key Questions Safe, Responsive and Well-led which contain those requirements. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service remained the same. This is based on the findings 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.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Shipston Lodge on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information, we may inspect sooner.
Shipston Lodge is a purpose-built nursing home providing accommodation, nursing and personal care to 30 older people including people living with dementia at the time of the inspection visit. The service can support up to 70 people. The home provides living accommodation over two floors with all bedrooms being ensuite. Communal areas are located on each floor which include bathroom facilities, a lounge and a dining room.
People's experience of using this service and what we found.
People had a plan of care that provided guidance to staff in how to support them. Associated health risks were assessed, but these were not always updated and reviewed immediately when a person’s needs changed, or where advice was sought to ensure the risks were not increased. Records did not always correspond with a person’s specific requirements; however we were assured this would be improved.
People were involved in consenting to day to day life choices, however consent for the provider to use CCTV in communal areas and people’s photographs to be used widely on social media, opportunities to review and consider ongoing consent were not always sought. The provider agreed to address this.
The provider completed a range of audits including satisfaction surveys and actions were monitored through an action plan. The registered manager implemented an audit structure to help drive improvements and standards within the home. The improvements found during this inspection had not always been known or considered by the registered manager or provider. We were confident actions would be taken to improve, especially when checks were delegated to others.
People spoke positively about their experiences living at Shipston Lodge and the quality of their care that was provided by a consistent staff team. People’s feedback was sought through meetings, surveys and ‘resident of the day’ with additional meeting opportunities planned.
We looked at infection prevention and control measures under the Safe key question. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively. Infection control systems implemented during a pandemic were in place. Staff told us face masks were worn when providing personal care and staff wore masks when they supported people around the home.
Staffing levels met people’s needs. People told us staff supported them in an unrushed manner and staff were able to respond to requests for support without minimal delay. People felt staff were trained because they knew what to do when supporting them.
Medicines were administered safely by staff who were trained and assessed as competent.
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.
Staff completed an induction process and were confident in their role. The registered manager promoted staff development and encouraged staff to attend additional training to enhance their skills and knowledge.
Staff encouraged people to maintain their interests and hobbies. Improvements to people’s known life histories and pastimes was being completed.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 28 August 2019 and this is the first inspection since registration.
Why we inspected
This was a planned inspection based on the date the service was first registered with the CQC.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information, we may inspect sooner
Further information is in the detailed findings below.