Background to this inspection
Updated
22 September 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
The inspection 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.
Service and service type
Florence Shipley Residential and Community Care Centre 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. Florence Shipley Residential and Community Care Centre 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 Healthwatch and professionals who work with the service. 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 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. We used all this information to plan our inspection.
During the inspection
We spoke with three people who used the service, two visiting professionals and 11 members of staff including the registered manager, deputy managers, activities coordinator, senior care workers and care workers. We also spoke with twelve relatives about their experience of the care provided.
We reviewed a range of records. This included 3 people’s care records and multiple medication records. We looked at 2 staff files in relation to recruitment. A variety of records relating to the management of the service, including policies and procedures were also reviewed.
Updated
22 September 2022
About the service
Florence Shipley Residential and Community Care Centre is a residential care home providing personal care to up to 32 people. The service provides support to adults of all ages, people living with dementia and people with mental health needs. At the time of our inspection there were 25 people using the service.
Florence Shipley Residential and Community Care Centre accommodates people in one purpose-built building across four floors. Each floor has communal areas and balcony outdoor space. The Centre offers a range of services including dementia care, long and short-term care and community specialist care, which is a reablement service facilitating discharge from acute hospital settings.
People’s experience of using this service and what we found
People and their relatives told us they felt the service was safe. Staff were recruited safely and there were sufficient numbers of staff to meet people’s needs. Medicines were managed safely and risk that affected people’s daily lives were regularly monitored and assessed.
Assessments of people’s needs had been carried prior to people using the service. People were supported to eat and drink a balanced diet and had a choice of meals, snacks and drinks. Staff training was relevant and up to date. Staff promptly sought guidance from external professionals when required.
People and their relatives consistently told us they were happy with how staff treated people. Staff understood how to promote people’s independence and respected people’s privacy and dignity.
Care plans contained detailed information on people’s life history and included information on people’s memories, employment and family. Staff told us how they used this information to understand people and to plan activities and discussions. People were supported to take part in activities and hobbies both inside and outside of the service.
Since our previous inspection, improvements had been made to quality assurance systems which ensured all aspects of the service were regularly audited. There was a positive, person centred approach to the planning and provision of people's care. This was demonstrated by the staff knowledge and understanding of the people they were supporting.
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 7 November 2019). The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of any regulations.
Why we inspected
This inspection was carried out to follow up on action we told the provider to take at the last 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.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.