CQC report explained · a residential care home
What the CQC found at ShawCare@HighWray
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm, with enough staff and safe recruitment checks. Some improvements were needed in medicines guidance and records, and in choking-risk assessments.
- Effective?
- Good
- This area was not inspected during this focused visit. Its previous rating was used to calculate the overall rating.
- Caring?
- Good
- This area was not inspected during this focused visit. Its previous rating was used to calculate the overall rating.
- Responsive?
- Good
- This area was not inspected during this focused visit. Its previous rating was used to calculate the overall rating.
- Well-led?
- Good
- Managers understood their responsibilities, monitored the service and acted on issues. People, relatives and staff were involved and described a positive culture.
What inspectors found, August 2023
ShawCare@HighWray was rated Good overall; inspectors found safe care and good leadership, with some medicine and choking-risk records corrected after inspection.
This was an unannounced, focused inspection on 6 July 2023. Inspectors looked at Safe and Well-led because of concerns about staff recruitment and checked infection prevention and control. They spoke with 5 people, 10 relatives and 9 staff, and reviewed care plans, risk assessments, medicines records, rotas, policies, audits and 4 recruitment files.
The home was rated Good for Safe and Well-led. Inspectors found enough staff, safe recruitment checks, safe medicines support overall, effective infection control and systems to learn from incidents. People and relatives spoke positively about the staff and said people were safe.
Some improvements were needed. Guidance for some medicines taken when needed was missing, some medicines records were incomplete, and choking-risk assessments for people with modified diets were not always clear. The manager addressed the medicine issues after the inspection and sought advice about choking risks.
Enough staff
Inspectors found good staffing levels, no vacancies and no use of agency staff at the time of the inspection.
“There were good staffing levels and there were no staff vacancies.” from the report
Kind staff
People and relatives spoke highly of the staff and said they received good care.
“Staff are really caring and kind. They always take time to speak to me.” from the report
Strong management
The home had clear management arrangements, regular meetings and audits, and managers acted on issues.
“There was a clear governance structure and regular governance meetings.” from the report
Infection control
Inspectors were assured that the home used protective equipment safely, responded to infection risks and kept its policy up to date.
“We were assured that the provider was responding effectively to risks and signs of infection.” from the report
Medicines guidance and records
needs fixingSome medicines taken when needed did not have clear guidance. Staff did not always record when creams and eye drops were opened, and some creams were not stored securely. The manager addressed these issues after the inspection.
“Some people had medicines prescribed 'as and when required'. There was not always guidance in place for staff to follow.” from the report
- 01What guidance is now in place for each person's medicines prescribed as and when required?
- 02How do you record the opening dates of topical creams and eye drops, and how are prescribed creams stored securely?
- 03Which residents have modified diets, and have their choking risks been assessed by the right health professionals?
- 04What changes were made after the inspection, and how have you checked that they are working?
This was a focused inspection of Safe and Well-led only; the report says the other ratings were carried over from 2019. This explanation was written from the published report of 4 August 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.
What inspectors found, March 2018
ShawCare@HighWray was rated Good; inspectors found safe, kind and personalised care, with all five areas rated Good.
The inspection was unannounced and took place on 20 February 2018. One adult social care inspector spoke with people living at the home, relatives, staff, managers and a visiting healthcare professional. The inspector also observed care, checked the building, and reviewed care, medicines, recruitment and management records.
Inspectors found that people were safe and supported by trained staff. Medicines were stored and given correctly. The home was clean and well maintained. Care plans were up to date and reflected people's needs, preferences and wishes.
People and relatives described staff as kind, patient and caring. Inspectors found good food, activities, healthcare support and systems for handling complaints. The management team used audits, meetings and feedback to monitor and improve the home.
The home was rated Good in Safe, Effective, Caring, Responsive and Well-led. It was also rated Good at the previous inspection in August 2015, so the overall rating remained unchanged.
Kind and patient staff
Inspectors saw caring interactions and people and relatives described staff as kind, patient and attentive.
“The staff are so kind and caring towards everyone.” from the report
Safe medicines and environment
Medicines were ordered, stored, administered and recorded correctly during the inspection. The home was clean, hygienic and well maintained.
“We looked around the home and found it was clean and maintained.” from the report
Personalised care
Care plans included people's needs, preferences, histories and wishes. People and families were involved in developing and reviewing them.
“Care plans were organised and had identified care and support people required.” from the report
Good food and choice
People spoke positively about the homemade food and the choice available. Staff understood special dietary needs and supported people who needed help to eat.
“Love the food what I like is there is always a choice.” from the report
Active management oversight
The management team used audits, meetings and surveys to gather views, identify issues and make improvements.
“The registered manager had systems in place to audit the service and identify any issues and act upon them.” from the report
Inspectors raised no specific concerns in this report.
- 01How will you assess and update my relative's care plan and involve our family in reviews?
- 02How will you manage my relative's medicines, including any controlled medicines?
- 03How will you support my relative's dietary needs, swallowing needs or need for help with eating?
- 04How are activities chosen and adapted for each person's interests and abilities?
- 05How can our family raise a concern, and how will the home tell us what action has been taken?
This was an unannounced inspection covering all five areas: Safe, Effective, Caring, Responsive and Well-led. This explanation was written from the published report of 20 March 2018 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 ShawCare@HighWray
3 rated inspections over 8 years: the service has held its Good rating throughout.
- August 2023Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2018Goodstayed GoodSafe: GoodWell-led: Good
- October 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2014
Report published without a new overall rating.
- April 2013
Report published without a new overall rating.
- February 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 16 December 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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85 live-in carers within about an hour of Lancashire
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 £1,260 a week. 78 can care for a couple. 11 years' experience on average.
“She understands the needs of an elderly person in the early stages of dementia and has treated my mother with great kindness and skill.”
“Thanks to Tracy, Dad was always immaculately dressed and clean, his meals were all home cooked and nutritionally well balanced and his home was always kept really clean and tidy.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.