Background to this inspection
Updated
26 March 2019
The inspection: We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team: The inspection was carried out by one inspector.
Service and service type: Shandon 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.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection: We gave the service 24 hours’ notice of the inspection site visit. As this is a small service we wanted to make sure someone would be in.
What we did: Prior to this inspection we reviewed all the information we held about the service, including data about safeguarding and statutory notifications. Statutory notifications are information about important events which the provider is required to send us by law. We used information the provider sent us in the Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. This enabled us to ensure we were addressing potential areas of concern at our inspection
As part of our inspection we spoke with two people who lived at the service and observed the care and support provided to people. We also spoke with the registered manager and one staff member. Following the inspection, we spoke with one relative who is in frequent contact with the service. We reviewed a range of documents about people's care and how the home was managed. We looked at two care plans, two staff files, medication administration records, risk assessments, complaints records, policies and procedures and internal audits that had been completed.
Updated
26 March 2019
About the service: Shandon is a small care home providing care for up to three adults with learning disabilities. The home is a bungalow and there are three single bedrooms on the ground floor. At the time of our inspection, there were two people living at Shandon.
The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen. 'Registering the Right Support' CQC policy.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
People’s experience of using this service: People and their relatives told us they felt safe living at Shandon. Risks to people’s safety had been assessed and measures implemented to keep them safe. A positive approach to risk taking was followed to ensure people’s independence was maintained. Staff were aware of their responsibilities in safeguarding people from abuse and had developed open and trusting relationships with people.
Staff had received training and support from healthcare professionals with regards to people’s individual health needs. This had enabled staff to provide people with individualised support in these areas. People told us they enjoyed their food and were offered choices in how they spent their time.
People and relatives told us that staff were caring and treated them with respect. People were supported to maintain relationships which they told us was important to them. Staff had worked at the service for many years and positive relationships had developed between people. There was a warm and homely atmosphere and people were clearly comfortable living at Shandon.
People received a personalised service and were involved in developing their care plans. Staff knew people’s life histories, preferences and routines. Activities were based around people’s choices and people were supported to take part in the running of their home.
There was a positive culture within the service where people, staff and relatives felt listened to. The registered manager felt supported by the provider and this flowed through the service. Quality assurance systems were in place which ensured high standards were maintained.
Rating at last inspection: At the last inspection the service was rated Good (report published on 17 August 2016)
Why we inspected: This was a planned comprehensive inspection to confirm the service remained Good.
Follow up: We will continue to monitor all intelligence received about the service to ensure the next planned inspection is scheduled accordingly.