CQC report explained · a residential care home
What the CQC found at Shetland House
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People said they felt safe, and inspectors found safe recruitment, medicines management, cleaning and safeguarding arrangements. Risk plans lacked detail, and emergency evacuation plans were not in place.
- Effective?
- Good
- Staff had induction, training, supervision and appraisals. People could choose meals, access health professionals and make decisions about their care.
- Caring?
- Good
- People said staff were kind, dignified and respectful. Staff knew people's preferences and encouraged independence, relationships and familiar routines.
- Responsive?
- Good
- Pre-admission assessments were completed and staff provided person-centred support. Care plans were in place but did not always contain enough personalised detail.
- Well-led?
- Good
- People and staff found management approachable and supportive. Feedback, audits and meetings were used to monitor the service and make improvements.
What inspectors found, January 2019
Respite and Recovery Centre was rated Good overall; inspectors found kind, safe support, but some risk and care records lacked detail.
This was the first inspection since the home was registered in December 2017. The announced inspection took place on 10 December 2018. One inspector visited, spoke with people and staff, and checked care records, medicines, recruitment and management records.
The home was supporting one person at the time, although it could accommodate up to three people. Inspectors found that people felt safe and received kind, respectful and personalised support. Medicines were managed safely, staff were trained, and the home was clean.
Some records needed improvement. Risk plans did not clearly explain the risks or how they should be controlled. Emergency evacuation information was not in place, and care plans did not always include enough detail about people's abilities and preferences.
The home was rated Good in all five areas: safe, effective, caring, responsive and well-led. This means the inspection found the service met the required standards overall, while still identifying areas for improvement.
Kind and respectful staff
People described staff as kind, caring and respectful. Inspectors saw warm and trusting interactions, with staff supporting privacy and personal choices.
“People told us that staff were kind and caring in their approach.” from the report
Safe medicines support
Medicines were stored, administered and recorded appropriately. Staff had medicines training and their competence was checked regularly.
“Records of medicines were accurate and clear, and staff had recorded accurately when these medicines had been administered.” from the report
Trained and supported staff
New staff completed a thorough induction and staff received relevant training, supervision and appraisals. Specialist training was provided when people had particular medical conditions.
“Records showed staff had received an extensive amount of training relevant to their role which was all conducted face to face by a qualified trainer.” from the report
Responsive management
Management asked people and relatives for feedback and used it to make changes. People and staff described management as friendly, approachable and responsive.
“This demonstrated that the service listened to feedback provided and took action where needed.” from the report
Risk records lacked detail
needs fixingRisk plans did not clearly state the risks or the measures needed to control them. Inspectors said staff understood the risks, but this was not clearly recorded.
“They did not clearly identify what the risks were, and control measures that had been put in place.” from the report
Emergency information was missing
seriousPeople did not have emergency evacuation plans containing key information for emergency services, such as medical conditions and communication needs.
“People did not have emergency evacuation plans in place to ensure emergency services would have access to important information” from the report
- 01What changes have you made to risk assessments so they clearly explain each person's risks and the controls staff must follow?
- 02Are emergency evacuation plans now in place, including medical and communication information for emergency services?
- 03How do you make sure care plans describe what each person can do independently and their personal preferences?
- 04How would staffing levels and on-call support change if all three places were occupied?
- 05How are medicines managed when a person self-medicates, and how is their ability to do this checked?
This was an announced inspection covering all five key questions and the overall rating; the home was supporting one person during the visit. This explanation was written from the published report of 24 January 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.
Every inspection of Shetland House
Each visit the CQC has published, newest first, back to the day the home was registered.
- January 2019Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2017
Registered with the Care Quality Commission on 21 December 2017.
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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28 live-in carers within about an hour of North Yorkshire
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 £1,010 to £1,290 a week. 27 can care for a couple. 12 years' experience on average.
“Carla has been a god send with the implementation of bringing mum back home from respite care.”
“She was always 'just present enough': attentive, available, kind and engaging, but without ever over-stepping any boundary”
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.