Shaftesbury House Residential Care Home

Updated 23 August 2022

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. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

This inspection was undertaken by one inspector.

Service and service type

Shaftesbury House Residential Care Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Shaftesbury House Residential Care Home is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

Due to technical problems, the provider was not able to complete a Provider Information Return (PIR). A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.

We used information gathered, including feedback from three people who used the service, as part of monitoring activity that took place on 16 June 2022 to help plan the inspection and inform our judgements. We sought feedback from the local authority and professionals who work with the service. We used all this information to plan our inspection.

During the inspection

We spoke with five people who used the service to understand their experiences of the care and support they received. We observed staff interactions with people using the service and activities. We also spoke with one person’s relative. Following our inspection visit we received electronic feedback from another relative. We spoke with five staff members, including the registered manager, deputy manager and care staff.

We reviewed a range of records, including the care plans and risk assessments of three people who used the service, training records, three staff recruitment records and records relating to the management and oversight and monitoring of the service.

Updated 23 August 2022

About the service

Shaftesbury House Residential Care Home is a residential care home providing accommodation and personal care to up to 28 people. The service provides support to older people in one adapted building. At the time of our inspection there were 27 people using the service, some people were living with dementia.

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

There were systems in place to assess and mitigate risks of avoidable harm and abuse. The service learned from incidents to reduce future occurrences. People were supported by a staff team who were available when needed. Staff recruitment was done safely. People received their medicines when needed. The service was clean and hygienic. People were supported to have visits from their family and friends.

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.

People’s care records identified the care and support people required to meet their assessed needs and preferences. People’s end of life decisions and how they wished to be cared for was included in their care records. People were supported to participate in social activities to reduce boredom and isolation. There was a complaints procedure in place.

The registered manager understood their role and responsibilities. There was a programme of audits and monitoring systems which supported the provider and registered manager to identify shortfalls and address them.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was requires improvement (published 14 March 2019).

Why we inspected

This inspection was prompted by a review of the information we held about this service.

We undertook this focused inspection to check improvements had been made following the last comprehensive inspection. This report only covers our findings in relation to the Key Questions Safe, Responsive and Well-led which had been rated requires improvement.

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 has changed from requires improvement to good. 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 Shaftesbury House Residential Care Home on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.