5 June 2019
During a routine inspection
Shevington Court Nursing Home is a residential care home providing personal and nursing care to 30 people. The service can support up to 46 people. The home provides accommodation on the ground floor in one building.
People’s experience of using this service and what we found
Systems in place to monitor the quality of the service were not effective and failed to highlight or address concerns identified during this inspection. Improvements were needed to make the external environment safer.
The care planning and recording systems in place did not always ensure that up to date information was available in relation to people’s needs being met.
We have made a recommendation in relation to the deployment of staff.
People felt safe using the service and received their medicines on time. Safe recruitment practices were in place to help ensure that only suitable people were employed at the service.
People’s needs and wishes were assessed prior to moving into the service. People received care and support from appropriately trained staff. People were offered a nutritious and balanced diet and their healthcare needs were understood and met.
People were protected from abuse and the risk of abuse and staff understood their role in relation to this. People and their family members told us that the service was safe. Infection control practices were followed to minimise the risk of the spread of infection. Regular safety checks were carried out on the environment and equipment.
Staff knew people well and were knowledgeable about individual's needs and how they were to be met. People and their family members knew how to raise a concern or make a complaint about the service. People were treated with kindness by staff. Staff provided care and support that people were happy with.
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 2 July 2018). At this inspection improvements had been made however, the provider was still in breach of regulations as further areas of improvement had been identified during this inspection. This service has been rated requires improvement for the last three consecutive inspections.
Why we inspected
This was a planned inspection based on the previous rating.
Enforcement
We have identified breaches in relation to Regulation 12 safe care and treatment and Regulation 17 good governance at this inspection.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.