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CQC report explained · a residential care home

What the CQC found at Sherrington House

Goodpublished 7 May 2020, 6 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 were safely recruited and there were enough staff to meet people's needs. Medicines were managed safely, although unlocked bathroom cabinets were identified as a potential risk and were secured promptly.
Effective?
Good
People had access to healthcare and staff made appropriate referrals when needs changed. Staff had suitable training and people were supported with nutrition, consent and daily choices.
Caring?
Good
People were treated with kindness, compassion and respect. Staff supported privacy, dignity, independence and involvement in care decisions.
Responsive?
Good
Care records were detailed and personalised. Staff responded to changes in people's health, supported activities and relationships, and respected people's choices about taking part.
Well-led?
Good
Inspectors found visible leadership, an open culture and quality checks that supported improvement. Some inconsistent bedding was identified, then addressed through replacement, staff training and daily checks.
The latest report, explained

What inspectors found, May 2020

Sherrington House was rated Good; inspectors found kind, safe care, with minor issues about bathroom cabinets and bedding dealt with promptly.

This was an unannounced inspection on 4 March 2020. Inspectors observed care, spoke with people, relatives, staff and a visiting professional, and reviewed care plans, medicines records, staff files and management records.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough suitably recruited staff, safe medicines systems, clean surroundings, personalised care and good access to healthcare.

People were treated with kindness and respect. Staff knew people well, supported their choices and encouraged activities and relationships. The management team had systems to monitor quality and respond to problems.

Inspectors identified unlocked bathroom cabinets as a potential risk. They also found some bedding was not of a consistent quality. The manager acted promptly to address both issues.

What inspectors praised
  • Kind and respectful care

    People were consistently treated warmly and staff knew their needs, preferences and communication styles. Inspectors saw staff protecting privacy and promoting independence.

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

    The home had enough suitably recruited staff. Medicines were administered by trained staff, with competency checks and regular audits.

    “Effective systems and processes were in place to make sure people received their medicines as they had been prescribed with clear records kept.” from the report
  • Personalised support

    Care records described people's individual needs and preferences. Staff responded quickly when people's health changed and involved relatives where appropriate.

    “People's care records were detailed in providing important information to guide staff on how to meet their individual care needs.” from the report
  • Activities and social contact

    The home offered activities and one-to-one support, including for people living with dementia. Staff also encouraged contact with relatives and respected people who chose not to join activities.

    “A programme of activities took place which encouraged and enabled people to pursue their hobbies and interests.” from the report
  • Open management

    The manager was visible and approachable. People, relatives and staff said they could raise concerns, and audits were used to identify and act on improvements.

    “There was a positive and open culture where staff felt able to speak to the registered manager if they needed guidance and support.” from the report
What inspectors were concerned about
  • Inconsistent bedding quality

    minor

    Inspectors found inconsistencies in the quality of bedding for some people. Bedding was replaced where needed, housekeeping staff received further training and daily checks were introduced.

    “However, we fed back to the registered manager inconsistencies with the quality of the bedding for some people.” from the report
Questions to ask them, based on this report
  1. 01How do you now check that communal bathroom cabinets remain locked and safe?
  2. 02What did the bedding audit find, and how often are bedding and room standards checked now?
  3. 03How do you make sure staff recognise and respond quickly when a person's health changes?
  4. 04What activities are available for people living with dementia, including those who prefer one-to-one support or stay in their rooms?
  5. 05How are relatives involved in care reviews, complaints and decisions about changing needs?

This was an unannounced comprehensive inspection covering all five key questions, and the previous Good ratings were all retained. This explanation was written from the published report of 7 May 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.

An earlier report, explained

What inspectors found, September 2017

Rated Good; inspectors found safe, kind and personalised care, with all five areas remaining Good.

This was an unannounced comprehensive inspection on 30 and 31 August 2017. Inspectors spoke with people living at the home, relatives, staff and the registered manager. They also observed care and reviewed care files, staff records, medicines records and quality checks.

People told inspectors they felt safe and well cared for. Inspectors found enough trained staff, suitable risk assessments and safe medicines systems. People were supported with food, drinks, healthcare and decisions about their care.

Inspectors saw respectful and caring interactions. Care plans included people's preferences and life histories, and complaints were handled effectively. The home was rated Good in all five areas, the same as at the previous inspection in February 2015.

What inspectors praised
  • Staffing and safety

    Inspectors found enough skilled staff to meet people's needs. Risks were assessed and managed without unnecessarily limiting people's independence.

    “This meant there were suitable numbers of skilled staff to meet people's needs.” from the report
  • Safe medicines

    Medicines were stored, administered and recorded safely. Staff had regular training and checks of their competence.

    “Medicines were safely managed. Staff had undergone regular training with their competencies checked.” from the report
  • Kind and respectful care

    Staff listened to people, respected their privacy and supported their independence. Relatives were positive about how staff treated their family members.

    “People's right to privacy and dignity was respected and promoted.” from the report
  • Personalised support

    Care plans included people's preferences, interests and life histories. This helped staff provide activities and support that people enjoyed.

    “The service ensured that people's care records were personalised to include information about them, such as their hobbies, interests, preferences and life history.” from the report
  • Open management

    The registered manager was visible and approachable. Audits were used to identify problems and records showed that action was taken promptly.

    “Where shortfalls were identified, records demonstrated that these were acted upon promptly.” 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 would you support my relative's particular needs if they are living with dementia or cannot clearly explain their wishes?
  2. 02How do you review staffing levels when residents' needs change?
  3. 03How would you manage and review my relative's medicines, including checking staff competence?
  4. 04How are changes to care plans agreed with residents and their relatives?
  5. 05What activities would match my relative's interests, preferences and life history?

This was an unannounced comprehensive inspection covering all five key questions, and all five ratings were Good. This explanation was written from the published report of 29 September 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 Sherrington House

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

  1. May 2020Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Sherrington House →

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

    Read what inspectors found at Sherrington House →

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

    Read this report on cqc.org.uk

  4. December 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. December 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. September 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. May 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. December 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. January 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  10. February 2011

    Registered with the Care Quality Commission on 9 February 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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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 £1,020 to £1,260 a week. 17 can care for a couple. 7 years' experience on average.

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