Shaftesbury Place

Updated 21 August 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This unannounced comprehensive inspection took place on 13 and 14 June 2018. It was carried out by one 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. In this case physical disabilities.

To help us plan this inspection we reviewed information we held about the service since the last inspection in December 2015. We used information the provider sent us in the Provider Information Return (PIR). This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We also reviewed notifications received from the provider. This is information the provider is required by law to send to us, about significant events which relate to or involve people who lived at the home.

During the inspection we spoke with eight people who lived at the home and who received care and support under the home’s registration. We spoke with the registered manager, deputy manager and two care staff. We reviewed the care records of three people and medicine records of one person. We reviewed three staff member’s recruitment records. We reviewed complaints records, a selection of audits, the home’s current business plan, maintenance records, and fire risk assessment. We requested to be forwarded to us and received the staff training record and evidence of provider follow up related to recommended fire safety actions.

Updated 21 August 2018

Shaftesbury Place is a residential care home for 19 people who live with a physical disability. Some people also live with a learning disability and mental health needs. The service predominantly met the needs of younger adults but also of people under the age of 65 years. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. At the time of the inspection 17 people received care and support under this service. Accommodation for the care home was provided across two floors; on the ground-floor in four units called ‘households’ and on the first floor in three (single occupancy) flats.

The service was also registered to provide ‘personal care’, when required, to people living in their own accommodation. Another nine flats were located on the first floor and were rented by people who had a separate rental agreement in place. Two of these people received support with their personal care to enable them to live as independently as possible. We looked at the support these people were receiving. CQC does not regulate or inspect the private accommodation of people receiving support under this service. People from the nine flats and those who lived in the care home socialised together within Shaftesbury Place.

The home must have a registered manager in post and the same one had remained in post since 2010. A registered manager is a person who has registered with the CQC to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. People knew who the registered manager was, they liked her and they told us they found her easy to talk with.

At our last inspection on 16, 17 and 18 December 2015 we rated the service ‘Good’. At this inspection we found the evidence continued to support the rating of good. There was no evidence or information from our inspection and on going monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection. At this inspection we found the service remained Good.

This inspection was carried out on 13 and 14 June 2018 and was unannounced.

Why the service continues to be rated ‘Good’.

People received the care and support they required to live safely and as independently as possible. People had access to other health care and social care professionals to support their wellbeing. Staff were knowledgeable and had the right skills to meet people’s physical and psychological needs.

People were encouraged and supported to develop their daily living skills, to improve their overall education and to socialise as they wished to. They were supported to develop friendships and maintain family links. Staff supported people’s independence. They tailored people’s care and support around their needs, abilities, goals and aspirations. People had good relationships with the staff and people’s different communication needs were supported.

People were actively involved in planning and reviewing their care. Where appropriate and if the person wanted, family members were also involved in this. 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 home supported this practice.

Improvements were taking place to make it easier for people to access their care records when they wanted to. Plans included making this possible through an application (an App) on the person’s computer or Smart phone. Complaints could be raised and addressed through the provider’s complaints procedure. Any area of dissatisfaction was taken seriously and managers aimed to resolve these, where possible.

The registered manager had continued to manage the service effectively. They were trusted and respected by people and the staff. Management staff worked well together to ensure the systems and processes in place supported the home’s compliance with necessary regulations. There were effective quality monitoring processes in place, which monitored the quality of services and care provided to people. Actions which were required to sustain good practice and to make improvements were carried out. People had a voice in the running of the home and their feedback was taken into consideration when plans and improvements were made.

Further information is in the detailed findings below.