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CQC report explained · a residential care home

What the CQC found at Sherdley Court

Goodpublished 8 July 2022, 4 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors found that risks were assessed, staff understood people's needs, medicines were managed safely and there were enough staff. Safeguarding and infection control arrangements were also found to be suitable.
Effective?
Good
This key question was not inspected during this visit. Its previous rating was used when calculating the overall rating.
Caring?
Good
This key question was not inspected during this visit. People gave positive feedback about the care and their relationships with staff.
Responsive?
Good
This key question was not inspected during this visit. Its previous rating was used when calculating the overall rating.
Well-led?
Good
Inspectors found an open, inclusive culture, regular audits and opportunities for people and staff to share their views. This rating fell from Outstanding at the previous inspection.
The latest report, explained

What inspectors found, July 2022

Rated Good; inspectors found safe care and open management, but the well-led rating fell from Outstanding to Good.

This was an unannounced focused inspection on 8 June 2022. Two inspectors spoke with five people, seven staff members, managers and reviewed care plans, medicines records and management records.

The home was rated Good for Safe and Well-led. Inspectors found that risks were assessed, medicines were managed safely, staffing levels were suitable and safeguarding systems were in place. The home was clean and infection control arrangements were suitable.

People said they felt safe and were happy with their care. Inspectors also found an open culture, regular checks and good involvement of people, relatives and staff.

Only Safe and Well-led were inspected. The other key question ratings were carried over from the previous inspection when calculating the overall Good rating. The report does not list any breached regulations or enforcement action.

What inspectors praised
  • Safe staffing

    Inspectors found enough staff to meet people's needs. Staffing was increased when some people needed extra support.

    “There were enough staff on duty to support people safely.” from the report
  • Safe medicines

    Staff had the training needed to administer, store and return medicines. People said they received medicines on time.

    “Medicines were managed safely by staff who had received relevant training.” from the report
  • People felt safe

    People told inspectors they felt safe living in the home. Staff had safeguarding training and knew how to respond to concerns.

    “People told us they felt safe living at Sherdley Court.” from the report
  • Open management

    People and staff described managers as approachable. Regular meetings and checks supported feedback and improvement.

    “The registered manager and provider promoted a positive culture that was person-centred, open and inclusive.” from the report
What inspectors were concerned about
  • Well-led rating reduced

    minor

    Although the home was still rated Good for leadership, this was a lower rating than at the previous inspection, when it was Outstanding.

    “At this inspection the rating has changed to good.” from the report
Questions to ask them, based on this report
  1. 01What was the previous rating for Effective, Caring and Responsive, and what has changed in those areas since the last full inspection?
  2. 02Why did the well-led rating fall from Outstanding to Good, and what improvements are now planned?
  3. 03How will staffing levels be increased if a person's health or behaviour changes?
  4. 04How are medicines checked, including medicines prescribed to be given only when needed?
  5. 05How can residents, relatives and staff raise concerns and see what action is taken?

This was an unannounced focused inspection of Safe and Well-led, including infection prevention and control; the other ratings were carried over from the previous inspection. This explanation was written from the published report of 8 July 2022 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, March 2019

Sherdley Court is Rated Good; inspectors found kind, personalised care and Outstanding leadership.

This was an unannounced inspection on 18 December 2018. One inspector spoke with three people living in the home, two family members, the manager and four care staff. They also checked care records, medicines records, staff records, quality checks and safety checks.

The home was rated Good overall. Safe, Effective, Caring and Responsive were all rated Good. Inspectors found people were safe, treated with kindness, supported to make choices and given care based on their individual needs.

Well-led was rated Outstanding. Inspectors found strong leadership, a positive culture, detailed quality checks and a clear commitment to improving care. The home had been rated Good at the previous inspection, and the well-led rating improved from Good to Outstanding.

What inspectors praised
  • Kind and respectful care

    People and families described staff as kind and caring. Inspectors saw warm relationships and support that respected people's dignity, choices and independence.

    “People were treated with kindness, compassion and respect.” from the report
  • Safe medicines and staffing

    Medicines were stored and administered safely. Inspectors also found enough suitably qualified and trained staff to meet people's needs.

    “Medicines were stored and managed safely by appropriately trained staff.” from the report
  • Personalised support

    Care plans included people's needs, preferences and expected outcomes. Staff used life histories and their knowledge of people to provide individual care.

    “The care people received was person centred and based on their individual needs.” from the report
  • Strong leadership

    The management team promoted a positive, inclusive culture and used detailed audits, feedback and incident reviews to improve the service.

    “Service leadership was exceptional and distinctive.” from the report
  • End-of-life support

    People were involved in planning their end-of-life care. The home also supported families and trained staff across different roles in end-of-life care.

    “People were supported to make decisions about their preferences for end of life care, and were involved in developing care and treatment plans.” 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. 01The report says visual menu choices were still being introduced. Are these now available for people with sensory or communication difficulties?
  2. 02The activities coordinator was new during the inspection. What activities are now offered, and how are they matched to my relative's interests and needs?
  3. 03How will you assess and review my relative's risks, care outcomes and preferences after they move in?
  4. 04If my relative lacks capacity for a particular decision, how will you involve them, their family and any advocate in best-interest decisions?
  5. 05What support is available to families when someone is approaching the end of their life?

This was an overall inspection of the care home, including both the premises and the care provided, and it considered all five CQC questions. This explanation was written from the published report of 19 March 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.

The story over the years

Every inspection of Sherdley Court

3 rated inspections over 6 years: the service has held its Good rating throughout.

  1. July 2022Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Sherdley Court →

  2. March 2019Goodstayed Good
    Safe: GoodWell-led: Outstanding

    Read what inspectors found at Sherdley Court →

  3. April 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. January 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. September 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. November 2010

    Registered with the Care Quality Commission on 23 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.

Next steps

Weigh the report against the rest

Care at home

At least 100 live-in carers within about an hour of St. Helens

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. 92 can care for a couple. 10 years' experience on average.

“He developed a close affinity with Terence, spending time talking with him before he retired to bed and looking after his needs during the night.”
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“It was clear that she genuinely cared and her warm approach really helped put our minds at ease.”
Sara K., about Trudi M.
See live-in carers near St. HelensProfiles, rates and reviews are free to look at.

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