Sherdley Manor

Updated 23 April 2021

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

As part of CQC’s response to care homes with outbreaks of coronavirus, we are conducting reviews to ensure that the Infection Prevention and Control practice was safe and the service was compliant with IPC measures. This was a targeted inspection looking at the IPC practices the provider has in place.

This inspection took place on 30 March 2021 and was unannounced.

Updated 23 April 2021

About the service:

Sherdley Manor is a care home that provides personal and nursing care for up to 23 people aged 65 and over. Twenty-one people were living at the service at the time of this inspection.

People’s experience of using this service:

Improvements had been made since the last inspection so that mental capacity assessments and best interest decisions were completed in line with the Mental Capacity Act (MCA). People’s needs and wishes were assessed and planned for. Care plans identified the intended outcomes for people and how their needs were to be met. People received care and support from appropriately trained staff. People were offered a nutritious and balanced diet and their healthcare needs were understood and met.

Systems for assessing and monitoring the quality and safety of the service were more effective in identifying areas for improvement within the service. People, family members and healthcare professionals described managers as approachable and supportive. Systems were in place to gather people’s views on the service.

We have made a recommendation about the management of medicines. People were protected from abuse and the risk of abuse and staff understood their role in relation to this. People and their family members told us that the service was safe. Risks to people and others were identified and measures put in place to minimise harm. Good infection control practices were followed to minimise the risk of the spread of infection. Regular safety checks were carried out on the environment and equipment.

Staff were knowledgeable about people’s needs and how they were to be met. People told us they received care and support in line with their care plan. People and their family members knew how to raise a concern or make a complaint about the service.

People were treated with kindness and respect by staff who knew them well. Staff provided care and support in a calming, relaxing manner with positive outcomes for people.

Details are in the key questions below.

Rating at the last inspection: Required Improvement (report published on 22 November 2017).

Why we inspected: this was a planned inspection based on the rating of the last inspection. The rating for this service has improved to good overall.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our inspection programme. If any concerning information is received we may inspect sooner.

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