CQC report explained · a residential care home
What the CQC found at The Shores
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People told inspectors they felt safe. Staff understood safeguarding, risk assessments were detailed and personalised, staffing levels were sufficient, and medicines were generally managed safely, although two expired medicines were found.
- Effective?
- Good
- This question was not rated in this inspection report.
- Caring?
- Good
- This question was not rated in this inspection report, although inspectors described staff as kind, caring and person-centred.
- Responsive?
- Good
- This question was not rated in this inspection report. The report says support was based on people's choices, preferences and individual needs.
- Well-led?
- Good
- Inspectors found an open and honest culture, approachable management, regular audits and good communication with relatives, staff and other professionals.
What inspectors found, October 2022
The Shores was rated Good; inspectors found safe, kind and person-centred support, with two out-of-date medicines identified and removed.
Inspectors visited on 21 and 22 September 2022. They met three of the six people living at the home, observed staff, spoke with staff and relatives, and reviewed care, medicines, recruitment, safety and management records.
The home was rated Good overall, with Safe and Well-led both rated Good. Inspectors found enough staff, detailed care plans and risk assessments, safe premises, appropriate safeguarding arrangements and a friendly, open culture.
The rating improved from Requires Improvement at the previous inspection, published on 7 October 2019. Inspectors found that people were supported to make choices, develop skills and become more independent.
Two medicines had expired, although neither was being used. The home removed them immediately and said it would give staff further training on disposing of out-of-date medicines.
Person-centred support
Care plans and risk assessments were detailed and tailored to each person. People were supported to make choices, live actively and build independence.
“Care plans and risk assessments were detailed and person centred ensuring people were supported to live full, active lives.” from the report
Safe staffing
Inspectors found enough suitably trained staff to support people safely. Recruitment checks had been completed before staff started work.
“There were enough appropriately trained staff employed to support people and the provider had an ongoing programme of staff recruitment in place.” from the report
Open management
Staff, relatives and professionals described the home as open, friendly and supportive. The home used audits, meetings and incident reviews to monitor and improve care.
“There was a process of continual improvement and quality assurance with a variety of audits completed to ensure the quality of the provision was maintained.” from the report
Good safeguarding
Staff knew how to recognise and report abuse. Incidents were recorded, reviewed and discussed so lessons could be learned.
“Incidents and accidents were discussed at staff team meetings and at daily handovers to ensure that learning from incidents could be undertaken.” from the report
Expired medicines
needs fixingInspectors found two expired medicines. They were not in current use and were removed immediately, but the home said staff needed additional training on disposing of out-of-date medicines.
“We identified two medicines that had expired. Both medicines were not in current use.” from the report
- 01How do you check that medicines are removed before they expire?
- 02What additional medicines training has staff received since the inspection?
- 03How will you support my relative to make choices and develop greater independence?
- 04How are relatives involved in reviewing their family member's care?
- 05What ratings or findings apply to Effective, Caring and Responsive, as these were not covered in this inspection?
This inspection rated Safe and Well-led only; the report does not give ratings for Effective, Caring or Responsive. This explanation was written from the published report of 26 October 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.
What inspectors found, October 2020
Inspected but not rated; inspectors found improvements in staffing, activities and management after the previous Requires Improvement rating.
This was a targeted inspection on 24 September 2020. The inspector checked whether earlier problems with staffing, learning from incidents, activities and the culture of the home had been addressed. Infection prevention and control was also reviewed because of coronavirus.
The inspectors found enough trained staff to support people safely and personally. Staff knew people well, and people were supported with activities, community visits, choice and independence. The home was described as relaxed, friendly and welcoming.
There were clear systems for recording incidents and sharing lessons. The provider was still developing an additional tool to analyse incidents and identify trends in more detail. The provider was also recruiting more staff to reduce the use of agency workers.
The home was not given new ratings. Safe and Well-led remained marked as Inspected but not rated because this visit only covered specific areas. At the previous inspection, both questions were rated Requires Improvement.
Staffing and continuity
There were enough trained staff on each shift, and the team knew people well. The provider was recruiting more staff to reduce reliance on agency workers.
“There were enough appropriately trained staff employed to support people.” from the report
Choice and independence
Support focused on helping people gain skills, make choices and become more independent. People were offered varied activities and visits in the community.
“People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.” from the report
Positive atmosphere
Inspectors found the home welcoming and supportive. People, relatives and staff spoke positively about the management changes.
“There was a relaxed, happy and welcoming atmosphere at The Shores.” from the report
Learning from incidents
Accidents and incidents were recorded, reviewed and discussed with staff so lessons could be shared and support improved.
“Accidents and incidents were used as an opportunity for staff to learn, develop and improve.” from the report
Infection control
Inspectors were assured that the home had suitable infection prevention measures, including effective use of protective equipment and an up-to-date policy.
“We were assured that the provider was using PPE effectively and safely.” from the report
More staff still being recruited
minorThe provider was still in the final stages of recruiting additional staff. Until this is complete, the home may continue to use some agency staff.
“The provider was in the final stages of recruiting additional staff for the service.” from the report
Incident analysis tool not finished
minorThe manager was still developing an extra tool to provide more detailed analysis of incidents and identify emerging trends.
“The manager explained they were in the process of developing an additional analysis tool to ensure a detailed analysis of incidents and accidents would be completed to further highlight emerging trends” from the report
- 01How many permanent staff now work at the home, and how often are agency staff used?
- 02Has the additional tool for analysing incidents and identifying trends now been completed?
- 03How will you make sure activities and community visits reflect my relative's interests and choices?
- 04What has changed since the previous Requires Improvement inspection, and what still needs to improve?
- 05When will the home next receive a comprehensive inspection covering all five key questions?
This was a targeted inspection of specific concerns within Safe and Well-led, plus infection control; the full key questions were not assessed and the previous ratings were not changed. This explanation was written from the published report of 21 October 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.
Every inspection of The Shores
3 rated inspections over 6 years: the service has held its Good rating throughout.
- October 2022Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2020Inspected but not ratedSafe: Inspected but not ratedWell-led: Inspected but not rated
- October 2019Requires improvementdown from GoodSafe: Requires improvementWell-led: Requires improvement
- February 2017GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2013
Report published without a new overall rating.
- February 2013
Report published without a new overall rating.
- December 2012
Report published without a new overall rating.
- November 2011
Registered with the Care Quality Commission on 24 November 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.
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37 live-in carers within about an hour of Bournemouth, Christchurch and Poole
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 £1,000 to £1,340 a week. 26 can care for a couple. 11 years' experience on average.
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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.