Archived: Shakespeare House

Updated 30 January 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This comprehensive inspection took place on 6 January 2018 and was announced. We telephoned the service the night before the inspection visit and inspected at a weekend because the service was a small care home for younger adults who are often out during the day. We needed to be sure that people would be in. The inspection was carried out by one inspector as the service was small.

Before the inspection the registered manager completed a Provider Information Return. 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.

We reviewed the last inspection report and other information including any notifications. Notifications are information we receive when a significant event happens, like a death or a serious injury.

We met and spoke with two people, together over breakfast and with one in private. We spoke with two members of staff and to the registered manager. We sampled various records including one care plan, medicine records, audits, checks and handover sheets. We observed how people were supported and how staff interacted with people.

Updated 30 January 2018

Shakespeare house 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. Shakespeare House provides accommodation and personal care to up to three people who might need support with the mental health or may be living with a learning disability. There were three people living at the home when we inspected.

The 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 using the service can live as ordinary a life as any citizen.

Rating at last inspection

At the last inspection, the service was rated ‘Good.’

Rating at this inspection

At this inspection we found the service remained 'Good'.

Why the service is rated Good

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People continued to lead the lives they wanted to, people were supported to meet friends, follow their hobbies and to get jobs if this is what they wanted.

People felt safe and well supported by enough trained and caring staff. Staff knew how to recognise and respond to abuse, there was a feeling of mutual respect, trust and equality. The stable experienced staff team knew people very well and everyone had the support they needed. Staff were checked before they worked with people.

Everyone was involved in the cooking and cleaning and the premises suited people’s needs. The home was clean and well maintained. People had support to keep well and healthy and to take the medicines they needed. People were involved in making decisions about what happened at the service so that they all had a say. Risk taking was managed well so that people were not restricted but enabled.

The registered manager had been managing the service for several years and was experienced and skilled at supporting people with learning disabilities. There was a clear vision for staff to follow and audits and checks of all areas of the service were carried out regularly. Any accidents, incidents or complaints were reviewed and learned from. There was a clear complaints procedure that people knew about.

Staff worked together with people and their representatives to make sure everyone had the right support. People’s needs were regularly assessed and support plans gave staff clear instructions about people’s needs and hopes and dreams for the future. People’s support plans were held securely and included information about what support people wanted at the end of their lives.

Further information is in the detailed findings below.