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Sheringham House Requires improvement

Reports


Inspection carried out on 9 June 2021

During a routine inspection

About the service

Sheringham House is a residential care home, providing personal care to people aged 16-19 years, with learning disabilities, autism and/or mental health needs. The home can support up to five people in one adapted building. At the time of the inspection, two people were using the service and one person was in hospital.

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

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the guidance CQC follows to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.

The service was not fully able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. The home was not a safe environment because there were shortfalls in the management of the service to assess, monitor and mitigate risks to people.

The provider was not ensuring the premises was a safe and secure place for people they supported and staff they employed. Locks on both the front porch door and back doors had been broken for more than a month. The fire alarm system had been faulty for nearly three months just prior to our inspection. The provider had failed to respond urgently to ensure these repairs were carried out. This meant people and staff were at risk of harm or injury because there was a lack of sufficient security to ensure their safety.

People’s privacy and dignity was not being respected at all times. People were not always assessed appropriately prior to them receiving support from the service to ensure their needs could be met. The culture and ethos of the service to provide person-centred care was affected because of this and people were not living fully empowered and independent lives.

People were supported with their medicines but we have made a recommendation around maintaining the temperature of the medicine storage room within a suitable range. Staff followed infection control procedures. However, we could not be assured all infection control risks to people were being mitigated against due to the security issues in the home, which could expose people to the risk of infection.

Incidents and accidents in the service were reviewed and analysed to prevent reoccurrence. There were suitable numbers of staff in the service and they were recruited safely. Staff told us they were supported by the manager and they received supervision to discuss their performance and any concerns they had. Staff received training to ensure they had the right skills to support people whose behaviour could challenge.

People maintained their health and nutrition with food and drink of their choice. Their communication needs were assessed. They were supported to follow their interests and maintain relationships. There was a complaints procedure for people to use. There were systems to obtain people's and relative’s feedback about the service.

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 20 May 2020 and this is the first inspection.

Why we inspected

The inspection was prompted in part due to concerns received about the premises, the environment and the overall safety of the service. A decision was made for us to inspect and examine those risks.

We have found evidence that the provider needs to make improvements. Please see the safe, effective, caring and well-led sections of this full report. You can see what action we have asked the provider to take at the end of this full report.

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. T