What the CQC found at Sholden Hall Residential Home

People were treated with kindness and dignity. Staff understood individual preferences and supported people to make everyday choices.

“People were supported in the way they preferred. Staff knew people well and respected their choices and preferences.” from the report

People had choices of meals, drinks and snacks. Staff monitored health and involved healthcare professionals when needed.

“People were supported to eat a balanced diet. People had access to snacks and drinks throughout the day.” from the report

People were supported to see family, join activities and attend religious services they wanted.

“People took part in activities they enjoyed. There was an activities co-ordinator during the morning in the week, along with staff provided activities such as quizzes and art.” from the report

The home had a complaints process, and complaints were investigated with feedback given to the person who raised them.

“When complaints, including verbal complaints, these had been recorded, investigated and feedback given to the complainant.” from the report

Risks to people's health and welfare were not consistently assessed. Doors to stairs were not secured, creating a risk of falls, including for people walking around at night.

“There was a risk people would open the doors and fall down the stairs. Following the inspection, safety locks were added to the doors.” from the report

There were not always enough staff, particularly at night. Records showed seven falls since January 2023, five of them unwitnessed at night.

“There were not enough staff to meet people's needs and keep people safe.” from the report

Some medicines were not given as prescribed, and instructions for medicines given when needed were not detailed enough. Records also contained an incorrect instruction.

“The provider had failed to manage medicines safely. This is a breach of regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.” from the report

Staff had not received practical moving and handling training. Inspectors said this could place people at risk of being moved unsafely.

“Staff had not received any practical moving and handling training, the provider had completed competency assessments on staff.” from the report

Management checks and audits did not identify the problems found during the inspection, including gaps in care plans, staffing, medicines and environmental safety.

“Checks and audits had been completed by the management team and provider, but these had not identified the shortfalls found at this inspection.” from the report