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CQC report explained · a residential care home

What the CQC found at Shandon

Goodpublished 4 May 2023, 3 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors found that staff understood safeguarding, risks were managed, staffing was sufficient and medicines were administered, stored and recorded safely.
Effective?
Good
People's needs were assessed and reviewed. Staff had relevant training, supported people's eating and drinking, worked with health professionals and followed the Mental Capacity Act.
Caring?
Good
Staff knew people well and treated them with kindness, dignity and respect. People were involved in decisions and supported to remain independent.
Responsive?
Good
Care plans reflected people's preferences and communication needs. Staff supported activities, outings, relationships and changing choices.
Well-led?
Good
The manager and staff shared person-centred values. Audits, staff meetings and reflective practice were used to monitor and improve care.
The latest report, explained

What inspectors found, May 2023

Shandon was rated Good in all areas; inspectors found personalised, kind and safe care.

This was the first inspection since the home was registered in December 2021. It was unannounced and took place on 8 and 16 March 2023. Inspectors spent time with people, observed care, spoke with three staff and a regular visitor, and reviewed care, medicines, recruitment and management records.

The home supported four older people with learning disabilities, some of whom were also living with dementia. Inspectors found enough skilled staff, safe medicines management, suitable healthcare support and good attention to people's risks and changing needs.

People were treated with kindness and dignity. Staff knew them well, supported their choices and independence, and helped them take part in activities and maintain relationships. The home had a warm atmosphere and systems to monitor and improve the quality of care.

The overall rating was Good. Safe, Effective, Caring, Responsive and Well-led were all rated Good. This was a first inspection, so there was no earlier rating to compare.

What inspectors praised
  • Choice and independence

    People were supported to make everyday choices and try new opportunities. Staff also helped people maintain skills with mobility, personal care and eating.

    “People were supported to make their own choices and staff supported people with new and different opportunities” from the report
  • Kind and respectful care

    Staff knew people's personalities, histories and preferences. Inspectors saw a warm atmosphere where privacy, dignity and individual choices were respected.

    “People were supported by staff who knew them well and were kind in their approach.” from the report
  • Safe medicines

    Medicines were administered, stored and recorded in line with prescriptions. Staff had medicines training and regular competency checks.

    “Peoples medicines were administered, stored and recorded safely.” from the report
  • Personalised support

    Care plans described how each person liked to be supported. Staff adapted routines, communication and activities to people's needs and preferences.

    “People received person centred care in line with their needs and wishes.” from the report
  • Quality monitoring

    The home used audits, staff meetings and monthly reflective practice to review care and identify improvements.

    “Audits were completed to monitor the quality of the service people received.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How will you monitor and respond if my relative's dementia, health needs or preferences change?
  2. 02How will you support my relative to make choices, maintain independence and try new activities?
  3. 03How are medicines competency checks completed, and how are medicines reviewed with healthcare professionals?
  4. 04How will you use my relative's communication plan, including their gestures, facial expressions and sensory needs?
  5. 05How will you involve our family in care decisions, activities and reviews?

This was an unannounced first inspection covering all five CQC questions and both the premises and care provided. This explanation was written from the published report of 4 May 2023 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.

The story over the years

Every inspection of Shandon

3 rated inspections over 7 years: the service has held its Good rating throughout.

  1. May 2023Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Shandon →

  2. March 2019Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  3. August 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  4. December 2021

    Registered with the Care Quality Commission on 6 December 2021.

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.

Next steps

Weigh the report against the rest

Care at home

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These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.

Most charge £980 to £1,250 a week. 66 can care for a couple. 11 years' experience on average.

“Without his support we wouldn't have been able to navigate bringing and keeping Dad at home.”
Emma P., about Aman A.
“Not only has she looked after him beautifully, she has also been great company for him with lively conversation, kindness and humour.”
Clare M., about Zion S.
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