Background to this inspection
Updated
22 July 2021
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was completed by one inspector.
Service and service type
Shaftesbury Court is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Shaftesbury Court is also registered as a domiciliary care agency. It provides personal care to people living in their own houses and flats and specialist housing. At the time of this inspection no one was receiving the service under the domiciliary care agency.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
We gave a short period of notice of the inspection to enable the provider to take any additional infection control measures prior to our visit.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.
During the inspection
We spoke with three people who used the service and three relatives about their experience of the care provided. We spoke with seven members of staff including the registered manager, senior care workers and care support workers.
We reviewed a range of records. This included four people’s care records and multiple medication records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We spoke with two professionals who regularly visit the service.
Updated
22 July 2021
About the service
Shaftesbury Court is a residential care home providing accommodation and personal care for up to 17 adults with learning and/or physical disabilities. CQC regulates both the premises and the care provided, and both were looked at during this inspection. At the time of this inspection 14 people were living at the service.
The service has recently moved back to this location following a complete rebuild. The accommodation is on a single storey level and is comprised of two open plan communal kitchen dining rooms and lounge areas. Each bedroom has en-suite facilities and a door leading to outside.
There are also two bungalows on the site which provide accommodation for up to four people. Three of the 14 people being supported were living in these at the time of this inspection.
The service is also registered to provide personal care to people living in their own homes. At this time no one was receiving this service.
People’s experience of using this service and what we found
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the guidance CQC follows to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
Not all key questions were inspected at this time, but the service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture in relation to the Safe and Well-led key questions.
Right support:
• There were positive opportunities within the service for people to be engaged and involved.
• The new build had been designed very much with the people who lived there in mind. They had been involved in the design and plans at an early stage to ensure it worked for them.
• We saw that people were involved in the creating and ongoing review of their care plans.
• The service worked with people towards more independent ways of living.
Right care:
• We did not look at the caring key question at this inspection. However, we did observe some care interactions and saw these demonstrated genuine care for people from staff.
• People were extremely comfortable with staff and people’s permission was sought at every support interaction.
• The service was dedicated to being led by the people who lived there and people were active in choosing how they lived.
• The service had used exceptional advances in technology to effectively enhance and promote peoples experiences.
Right culture:
• The service has a exceptionally positive culture that was person-centred, open, inclusive and empowering. It had a well-developed understanding of equality, diversity and human rights and put these into practice. Staff at every level demonstrated a genuine passion to promote and support people’s rights within the service.
• People living at the service were valued for the individuals they were.
• There were many opportunities provided for people to be engaged and involved in the daily running of the service and their wider community.
• Staff members were visibly proud to work in the service and keen to share their knowledge of people and ways their practice supported people.
The service had excellent and well thought out infection control measures in place. Information folders and updates regarding the pandemic were readily available for staff to keep well informed and Easy read documents were in place to support people’s understanding. The provider had introduced a new policy in which new employees joining the organisation had to receive their COVID-19 vaccine within three months. The service had received extremely positive feedback from a health professional about the organisation of staff when they had visited to undertake COVID-19 immunisation to people and staff. This had been shared with the GP as an example of excellence.
The service had a clear structure of accountability and defined roles. Staff felt well supported and spoke positively about their roles within the service. Staff shared their positive feedback about the support and care they had experienced from the registered manager during the last difficult year. The registered manager had been the provider's chosen winner for their last year awards ceremony for their excellent leadership and commitment to the service.
Staff followed an admirable ethos that centred around promoting independence and people's choice. Staff knew people well and relationships between people and staff were comfortable and built on mutual trust.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was Requires Improvement (published 26 February 2018).
Why we inspected
This was a planned inspection based on the previous rating. The service undertook an extensive rebuild and we wanted to make sure people’s needs were being met at this location and that they were safe.
This was a focused inspection and the report only covers our findings in relation to the Key Questions of Safe and Well-led. The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from Requires Improvement to Good. This is based on the findings at this inspection.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Shaftesbury Court (Manor Close) on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.