The Shelley Care Home in Worthing has been rated Requires Improvement overall, following a recent inspection by the Care Quality Commission (CQC).
The Shelley Care Home is a residential care home providing personal and nursing care for up to 32 people with a range of health and support needs, including Parkinson's disease and people living with dementia.
CQC visited the service in November and December to carry out an unannounced focused inspection after receiving information of concern regarding infection control, staffing and the overall management of the home.
It was previously inspected in July 2018, when it was rated Outstanding overall, and in relation to whether it was safe, effective, caring, responsive and well-led. Following this latest inspection, safe and well-led have changed to Requires Improvement, along with the overall rating. As this was a focused inspection, the other domains were not reviewed or re-rated.
CQC’s Head of Inspection for Adult Social Care, Jemima Burnage, said:
“We inspected The Shelley Care Home in November to look at the overall quality of the service. A new manager started at the home in September and registered with CQC in November, and we received information of concern about how the service was being run since it transferred ownership.
“The inspection team returned in December, after receiving further information of concern. We then continued to seek clarification from the provider to validate the evidence we found relating to staff training, the analysis of accidents and incidents and the provider’s policies regarding safeguarding of residents and visitors to the service.
“We have now asked the provider to produce an action plan outlining what steps will be taken to improve the standards of quality and safety. We will review this and work alongside them to monitor progress and ensure that improvements are made and fully embedded. We will then return to inspect the service at a later date.”
During the inspection, CQC found:
- People's risks were not fully assessed to protect them from the risk of avoidable harm.
- Medicines prescribed for people living with Parkinson's disease were not always administered in a timely manner. A medicines audit did not include details of how medicines that needed refrigeration had been monitored.
- The majority of staff had not received Parkinson's disease awareness training or training in the management of falls which would enable them to support people's needs appropriately.
- Auditing systems had not identified all the issues found during the inspection and were not effective in driving improvement to the care people received.
- The system used to monitor accidents did not correspond with records relating to accidents and incidents, including falls, that people had sustained.
- Infection prevention and control systems had been implemented and were effective, though further improvements could be made.
However:
- People were happy living at the home and felt safe. They were supported to have maximum choice and control of their lives in the least restrictive way possible. Staff acted in the best interests of residents and the policies and systems in the service supported this practice.
- Residents' meetings were held to share any concerns or to make suggestions about how the home was run.
- Staff told us they enjoyed working at the home and felt supported by management.
Full details of the inspection are given in the report published online here.
Ends
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