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CQC report explained · a residential care home

What the CQC found at Shepherds Corner

Goodpublished 22 October 2019, 6 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors found enough staff, suitable recruitment checks, safeguarding training and regular safety checks. Medicines were recorded, stored and administered safely.
Effective?
Good
Staff had relevant induction, refresher and specialist training. People were supported with food, drink, healthcare appointments and their medical conditions.
Caring?
Good
Staff were observed to be warm, respectful and patient. People were involved in decisions, supported to communicate and encouraged to remain as independent as possible.
Responsive?
Good
Care plans included people's preferences, routines, interests and communication needs. People had individual activity timetables and relatives were kept informed.
Well-led?
Good
The management structure and quality checks were clear. The provider used feedback, investigated incidents and complaints, and made improvements when needed.
The latest report, explained

What inspectors found, October 2019

Shepherds Corner was rated Good; inspectors found safe, caring and personalised support, with the home larger than current best practice guidance.

This was an unannounced inspection on 07 October 2019. One inspector observed how staff supported people, reviewed three care records and three staff records, checked medicines and other records, and spoke with staff and the registered manager. Relatives were contacted after the inspection.

The inspectors found enough trained staff, safe medicines practices, clean premises and good safeguarding arrangements. Staff knew people well, respected their choices and supported their communication, health, independence, activities and relationships.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. The previous inspection, published on 07 April 2017, was also rated Good. The report says the service used some restrictive interventions only as a last resort and in a person-centred way.

What inspectors praised
  • Safe staffing and safeguarding

    Inspectors found enough staff to meet people's needs. Staff knew how to recognise and report possible abuse and understood people's risks.

    “There were enough staff to meet people's needs. Staff on each shift were trained to deal with emergency situations and events if these should arise.” from the report
  • Kind and respectful support

    Staff treated people with warmth and respect. They gave people time, asked permission and supported privacy and dignity.

    “Staff were kind and respectful when talking to people. They asked people for their permission before providing any support.” from the report
  • Choice and independence

    People were involved in decisions about their care and were encouraged to do everyday tasks for themselves where safe.

    “People were supported to be as independent as they could be. Staff encouraged people to get washed and dressed each day, clean and tidy their room” from the report
  • Personalised activities

    Activities reflected people's individual interests and choices. Support included community outings, shopping, meals out and physical activities.

    “Each person had a timetable of activities that reflected their specific choices and preferences for how they wished to spend their time every day.” from the report
What inspectors were concerned about
  • Home is larger than current guidance

    minor

    The home was registered for up to 13 people and ten people were living there. Inspectors said it was larger than current best practice guidance, although the building and setting reduced the negative impact.

    “This is larger than current best practice guidance.” from the report
  • Some restrictive interventions

    needs fixing

    The report says some restrictive interventions were used. It states these were a last resort and person-centred, but families should ask what this means for their relative.

    “The service used some restrictive intervention practices as a last resort, in a person-centred way, in line with positive behaviour support principles.” from the report
Questions to ask them, based on this report
  1. 01What restrictive interventions might be used for my relative, and how are these reviewed and recorded?
  2. 02How will you use my relative's preferred communication method when making decisions about their care?
  3. 03How will my relative's activity timetable reflect their interests, routines and choices?
  4. 04How will you support my relative to build independence while keeping them safe?
  5. 05How will you keep me informed about my relative's health, appointments and changes in support?

This was an unannounced inspection covering all five CQC questions, including the premises, care provided, medicines and management arrangements. This explanation was written from the published report of 22 October 2019 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.

An earlier report, explained

What inspectors found, April 2017

Rated Good; inspectors found safe, kind and person-centred care, with all five areas rated Good.

This was an unannounced comprehensive inspection on 27 February 2017. One inspector spoke with people living in the home, staff, relatives and the registered manager. They also observed care and checked care records, staff records and management records.

The home supports up to 12 people with learning disabilities, including some people with additional mental health needs. Inspectors found that people felt safe, staff knew them well, medicines were managed safely and risks were assessed.

People were supported to make choices, stay healthy, take part in activities and keep in touch with family and friends. Care plans were personal and regularly updated. Relatives and people living in the home spoke positively about the care.

The home was rated Good overall and Good in Safe, Effective, Caring, Responsive and Well-led. This was the same rating as at the previous inspection in February 2015.

What inspectors praised
  • People felt safe

    People said they felt safe and staff understood how each person communicated distress or needed support.

    “People using the service told us they felt safe and liked living at Shepherds Corner.” from the report
  • Safe medicines management

    Medicines were stored securely, administration records were accurate and checks and staff training were in place.

    “People using the service had medicines administration records (MAR) that were accurate and up to date.” from the report
  • Kind and familiar support

    A consistent staff group knew people's needs, routines and preferences and supported them in a friendly way.

    “Observed interactions between staff and people using the service were familiar and friendly and staff clearly knew how to work positively with people to help ensure their wellbeing.” from the report
  • Personalised activities

    People were supported to take part in activities suited to them, use the wider community and help with everyday tasks.

    “We saw that the service supported people to participate in a range of individualised activities, including day centres, trips out, art and music.” from the report
  • Strong management

    The manager was approachable and records, meetings and audits were used to monitor care and the quality of the service.

    “The service provider carried out regular audits of the service, which included health and safety audits as well as audits against the care provided by the service.” 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 make sure my relative's individual support plan reflects their communication methods, routines and preferences?
  2. 02What activities and community outings could my relative take part in, including cooking, shopping, art or music?
  3. 03How would you support my relative to make choices and remain as independent as possible?
  4. 04How are medicines stored, given, recorded and checked?
  5. 05How will you keep me informed about changes to my relative's health, care or daily routines?

This was an unannounced comprehensive inspection covering all five questions, with observations of care and checks of care, staff and management records. This explanation was written from the published report of 7 April 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.

The story over the years

Every inspection of Shepherds Corner

3 rated inspections over 5 years: the service has held its Good rating throughout.

  1. October 2019Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Shepherds Corner →

  2. April 2017Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Shepherds Corner →

  3. March 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. July 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. December 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. January 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. September 2011

    Registered with the Care Quality Commission on 9 September 2011.

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

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Most charge £980 to £1,230 a week. 77 can care for a couple. 11 years' experience on average.

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