Sheldon House

Updated 28 August 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 and an assistant inspector.

Service and service type:

Sheldon House is a 'care home'. People in care homes receive accommodation and nursing or personal care. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.

Sheldon House provides care for people requiring support with mental health needs. The service provides accommodation and care for up to six people.

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:

This inspection was unannounced.

What we did:

Before this inspection we reviewed the information we held about the service, which included correspondence we had received and any notifications submitted to us by the service. Statutory notifications are information the registered provider is legally required to send us about significant events that happen within the service. For example, where a person who uses the service has a serious injury. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.

We contacted social care commissioners who help arrange and monitor the care of people living at Sheldon House. We also contacted Healthwatch Sheffield. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used all of this information to plan our inspection.

During our inspection we spoke with three people living at Sheldon House. We spoke with five members of staff which included, the nominated individual, the registered manager and three care staff.

We looked at three people's care records. We checked six people’s medication administration records and three staff files, which included recruitment checks, supervisions and appraisals. We also looked at other records relating to the management of the service, such as quality assurance documents.

We spent time observing the daily life in the service and we looked around the building to check the home was safe and clean.

Updated 28 August 2019

About the service:

Sheldon House is registered to provide accommodation and personal care for up to six people with a diagnosis of mental health related issues. The service is based in a large terraced house within the community. At the time of our inspection six people were living at the service. One person was visiting relatives at the time of our inspection. Staff employed at the home were multi lingual and spoke English, Punjabi and Urdu so they could communicate effectively with all the people they were supporting.

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

There was a strong, visible person-centred culture. The service ensured that staff in all roles were highly motivated and offered care and support that was exceptionally compassionate and kind. All the people and staff we spoke with gave us positive feedback about the caring nature of the service, quality of the staff and thoughtful support they received. Care records showed people had been supported to be actively involved in all aspects of their care planning and their own risk management.

Respect for privacy and dignity was at the heart of the service’s culture and values. We saw that was fully embedded in everything the service and staff did. People and staff felt respected, listened to, and influential.

People we spoke with told us they felt safe. People had individual risk assessments in place so staff could identify and manage any risks appropriately.

Safeguarding procedures were robust and staff understood how to safeguard people.

Systems were in place to make sure managers and staff learned from events such as incidents, concerns and investigations.

There were enough staff to ensure people’s care and support needs were met.

The provider completed appropriate pre-employment checks for new staff, to check they were suitable to work at the service.

Medicines were managed safely at the service.

The service was clean and had a welcoming homely atmosphere.

We saw the service had received compliments from relatives about the care provided at the service. Relatives described how the compassionate care provided at the service had transformed their family member’s life, health and mental wellbeing since they had come to live at the service.

Staff had undertaken training which was regularly updated to ensure they had the skills and knowledge to support people effectively.

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 made positive comments about the quality of food provided and told us their preferences and dietary needs were accommodated.

People were supported to maintain their independence and engage in activities of daily living such as, cooking, food shopping and cleaning their room. People's support also focused on them having as many opportunities as possible for them to gain new skills and become more independent.

People were encouraged and supported to engage in activities within the community.

There was a robust complaints process in place at the service. We found the service had responded to people’s and/or their representative’s concerns and taken action to address any concerns.

Staff spoken with made very positive comments about the staff team, registered manager and nominated individual.

There were planned and regular checks completed at the service to check the quality and safety of the service provided.

Rating at last inspection:

At our last inspection Sheldon House was rated good (report published 16 March 2017).

Why we inspected:

This inspection was part of our scheduled plan of visiting services to check the safety and quality of care people received.

Follow up:

We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.

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