Shipdham Manor

Updated 27 July 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. 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 Care Act 2014.

Inspection team

This inspection was completed by an inspector, an assistant inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Shipdham manor 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

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. 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 used all of this information to plan our inspection.

During the inspection

We spoke with 12 people who used the service and four relatives about their experience of the care provided. We spoke with five members of care staff, two domestic staff, the registered manager and the provider’s regional director.

We reviewed a range of records. This included three people’s care records in depth alongside samples from four additional care records and multiple medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including quality assurance audits, training records, policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found.

Updated 27 July 2019

About the service

Shipdham Manor is a residential care home providing personal care and accommodation in an adapted building over two floors. At the time of the inspection there were 41 people living within the home, many of whom were living with dementia.

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

People using the service and their relatives was unanimously complimentary about the care and life within Shipdham Manor. All the people we spoke with felt safe and recommended the service.

Staff were aware of how to safeguard people from potential abuse. Systems were in place to ensure risks were suitably assessed and mitigated for. The provider had robust recruitment procedures and had ample staff to ensure people felt safe and well cared for. The provider was thorough when reviewing incidents to ensure appropriate lessons were learnt.

People’s health and well-being were well supported and monitored. People received their medicines when they should and were enabled to access healthcare whenever required. People’s nutritional intake was well supported. Staff were well trained and understood the individual care needs and preferences of people living in the service. The home compromised of an old manor house with a purpose-built extension. It was well adapted and dementia friendly, with a variety of accessible communal spaces and garden. There were some aspects of the home that required updating but the home already had an action plan to address these issues.

All the people we spoke with were very complimentary about the kindness of staff. We observed warm and compassionate care which demonstrated strong relationships and understanding of people’s needs and preferences. People’s privacy and independence were promoted. Staff had time to spend with people and were not rushed when providing support. People were regularly asked for feedback on the care and support they received. 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 had individualised care plans which supported greater understanding of the person’s life and preferences. There was a wide range of activities which promoted health and well-being. These included regular sessions in exercise, arts and crafts, music, pet therapies and outings. The provider was pro-active in seeking and responding to any concerns or complaints people may have had about the service. The provider was accredited with a nationally recognised scheme which promoted quality end of life care. People had been consulted regarding their end of life care wishes when appropriate.

The feedback from both staff and people using the service regarding the registered manager was unanimously positive. The registered manager was seen to be accessible, compassionate and knowledgeable. There were good quality assurance systems in place and people were regularly consulted on the quality of care provided. Staff were provided with appropriate support and career progression encouraged. The team spirit was strong and staff retention was consequently high. The provider was proactive in encouraging best practice and considering service development.

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 ‘Good’ (published 31 October 2016)

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

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