CQC report explained · a residential care home
What the CQC found at 5 Shalnecote Grove
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found enough staff, suitable risk assessments, safe medicines arrangements and effective safeguarding procedures.
- Effective?
- Good
- Staff understood people's needs, supported dietary and healthcare needs, and followed relevant professional advice and legal requirements.
- Caring?
- Good
- Staff were kind, respectful and supported people's privacy, dignity, independence and choices. This rating fell from Outstanding because the garden and some communal areas were poorly maintained.
- Responsive?
- Good
- Care plans were detailed and personalised. People were supported with communication, activities, relationships and their individual interests.
- Well-led?
- Good
- The registered manager was in post, relatives and staff felt involved, and quality checks were generally effective. However, identified problems with communal areas and the garden had not been resolved by the provider.
What inspectors found, January 2020
Rated Good; inspectors found safe, kind and personalised care, but the caring rating fell from Outstanding because communal areas and the garden were poorly maintained.
This was an unannounced inspection on 26 November 2019. One inspector spoke with a person, relatives, staff, a manager and a care professional. They also observed care and checked care, medicines, training, incident and quality records.
The home supported eight people, with space for up to nine. Inspectors found enough staff, safe medicines arrangements, good risk management and staff who understood people's complex needs and communication methods.
People received personalised support and were helped to make choices, stay independent, follow their interests and access healthcare. Relatives and professionals gave positive feedback about the care and management.
The overall rating was Good, with Good ratings in all five areas. Caring fell from Outstanding at the previous inspection in 2017 because the garden and some communal areas were unkempt or in poor decorative condition.
Enough staff
Inspectors found there were enough staff to meet people's assessed care and support needs.
“People were supported by enough staff to meet their care needs.” from the report
Staff knew people well
Staff understood people's detailed needs, wishes and communication methods, helping them provide personalised support.
“Staff members could tell us about people's individual needs and wishes in great detail.” from the report
Personalised care
Care plans recorded people's likes, dislikes and preferences. People were supported to take part in activities and follow their interests.
“Care records were very person centred and contained detailed information which enabled staff to understand people's likes, dislikes and preferences.” from the report
Good health support
The home worked with health professionals and supported people to attend appointments and follow professional advice.
“People were supported by healthcare and other professionals in a timely manner.” from the report
Poorly maintained shared areas
minorThe outdoor area was unkempt, littered and had overflowing bins. Some communal areas, including stairways, were unclean and in poor decorative condition.
“At this inspection we saw that these improvements had not taken place and that the outdoor area was unkempt, littered and had overflowing bins.” from the report
End of life planning
minorNo one was receiving end of life care during the inspection. The report says further work was planned to develop end of life care plans.
“No one at the service was receiving support with end of life care. However, further work was planned in relation to this to develop care plans.” from the report
- 01What has been done since the inspection to clean and redecorate the communal areas and stairways?
- 02Has the garden been improved, and how are residents involved in deciding what outdoor improvements are needed?
- 03How will you develop and update end of life care plans if a resident needs this support?
- 04How will you make sure staff continue to understand each person's communication methods, preferences and daily choices?
- 05How are quality checks followed up when they identify problems with the building or garden?
This was an unannounced planned inspection covering all five CQC questions; the previous overall rating was Good, published on 26 June 2017. This explanation was written from the published report of 14 January 2020 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, June 2017
SENSE - 5 Shalnecote Grove was rated Good overall, with Outstanding caring and only some staff training checks still to complete.
Inspectors carried out a comprehensive, unannounced inspection on 17 May 2017. They visited the home, observed care, met four residents, spoke with relatives, staff and health professionals, and checked care plans, medicines, recruitment records and management checks.
The home supported up to nine people with learning disabilities and sensory impairment. Eight people were living there at the time. Inspectors found enough staff, suitable recruitment checks, safe medicines systems and support that matched people's assessed risks and needs.
Care was judged Outstanding in the caring area. Staff knew people well, respected their choices, privacy and dignity, and supported communication, independence, relationships and activities. The other four areas, Safe, Effective, Responsive and Well-led, were rated Good.
The home was rated Good overall, the same as at the previous inspection on 9 October 2014. Inspectors found the service remained good, although some staff competency checks and Mental Capacity Act training were not yet complete.
Communication and choice
The home used individual communication aids, sign language and other approaches so people could express choices and wishes. Staff took time to understand non-verbal communication.
“Staff communicated effectively with people using the service, no matter how complex their needs.” from the report
Activities and independence
People were supported to take part in activities they enjoyed, develop skills, work or volunteer, and remain connected with family and their community.
“A range of activities and opportunities were provided each day that were tailored to each person's needs and preferences.” from the report
Safety and medicines
Inspectors found suitable staffing, recruitment checks and risk management. Staff who gave medicines had been trained and assessed as competent, with regular checks in place.
“There were effective systems in place to make sure people received their prescribed medicines.” from the report
Competency checks incomplete
needs fixingThe provider had recently introduced a system to check staff competency, but the checks had not yet been completed at the inspection.
“The registered manager told us these had not yet been completed but plans were in place to commence these.” from the report
Mental Capacity Act training overdue
needs fixingAn audit found that eight staff had not completed online Mental Capacity Act training by the end-of-April deadline. The manager said this would be completed promptly.
“When we asked the registered manager about progress in achieving this they were unsure and on checking found that staff still needed to do this.” from the report
- 01Have all staff competency checks identified in the report now been completed, and how are they kept up to date?
- 02Did all eight staff complete the online Mental Capacity Act training after the inspection, and how is this monitored?
- 03How will staff support your relative's preferred way of communicating, including any sign language or individual communication aids?
- 04What activities, work, education or community opportunities would be available and tailored to your relative's interests?
- 05How will your relative and family be involved in reviewing the care plan and raising concerns?
This was a comprehensive, unannounced inspection carried out over one day; inspectors looked at parts of two care plans, medicines systems, two staff recruitment records and the home's management checks. This explanation was written from the published report of 27 June 2017 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of 5 Shalnecote Grove
3 rated inspections over 5 years: the service has held its Good rating throughout.
- January 2020Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Good
- December 2014GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2014
Report published without a new overall rating.
- July 2012
Report published without a new overall rating.
- November 2010
Registered with the Care Quality Commission on 29 November 2010.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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