Sherdley Court

Updated 8 July 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 carried out by two inspectors.

Service and service type.

Sherdley Court 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. Sherdley Court is a care home without 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

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 reviewed notifications received from the service in line with their legal obligations. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make.

During the inspection

We spoke with five people who used the service to gather feedback about their experience of the care provided. We spoke with seven members of staff; this included care workers, laundry assistants and deputy manager. We also spoke with the registered manager and area manager.

We reviewed a range of records including five people's care plans and associated records, medicine administration records for four people and other records relating to the overall management of the service.

Updated 8 July 2022

About the service

Sherdley Court is part of Making Space, a not for profit organisation operating a range of mental health services across Lancashire and Merseyside. Sherdley Court provides accommodation and personal care to people with a primary diagnosis of a functional mental illness and people who have additionally developed dementia. At the time of our visit there were 25 people living in the home.

People's experience of the service and what we found

Risks to people's health and well-being had been assessed and staff had access to information on how to support people safely. Staff responded to changes in people's health in a timely manner and contacted relevant health and social care professionals for advice and guidance where needed. People's prescribed medicines were managed safely by staff with relevant skills and training.

People told us they felt safe living at Sherdley Court and felt comfortable speaking to staff and managers if they were worried about something. Staff completed safeguarding training and knew how to respond to any incidents of concern. Accidents and incidents were reviewed by the registered manager to look at ways to prevent them from happening in the future.

There were enough staff on duty to meet people's needs and keep them safe. Where people needed additional support due to a change in health or well-being, the registered manager ensured additional staff were deployed. Safe recruitment processes were in place to make sure staff were suitable to work at the service.

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.

The home was clean and hygienic; staff responsible for the cleanliness of the home completed regular cleaning tasks and ensured associated records were completed to reflect this. Staff had access to PPE and were seen wearing masks correctly. Staff were given regular updates and guidance in infection prevention and control; particularly in relation to COVID-19. Safe visiting arrangements were in place in line with current national guidance.

A range of audits and checks were in place to identify any areas of improvement needed to the quality of care people received. Systems were in place to gather the feedback of people and staff and we received positive feedback about the open and transparent culture promoted by the registered manager. People told us they were happy with the care they received and staff told us they enjoyed working at Sherdley Court.

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

Rating at the last inspection

The last rating for this service was good (published 20 May 2019).

Why we inspected

We undertook this focused inspection as part of a random selection of services rated Good and Outstanding. We only looked at the key questions safe and well-led. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for this service has remained good based on the findings of 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 Sherdley Court 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.