Shelley Park was recently inspected by the Care Quality Commission between 8 - 12 June 2016. Here is a summary of their findings:
|Overall rating for this service||Good|
|Is the service safe?||Good|
|Is the service effective?||Good|
|Is the service caring?||Good|
|Is the service responsible?||Good|
|Is the service well-led?||Good|
Shelley Park is a specialist nursing home providing accommodation, care and treatment for up to 43 adults with complex needs including neurological conditions and physical disabilities. They provide care for people with the following needs:
- Acquired Brain Injury
- Traumatic Brain Injury
- Neurological Conditions
- Progressive Degenerative Conditions
- Physical Disability
- Learning Disability
- Behavioural Impairment
- Complex Nursing Care Needs
They offer a range of services including domiciliary care services, specialist multi-disciplinary assessment services, respite care and long term care for people with enduring conditions. People's treatment is managed through three pathways of care: acquired/traumatic conditions, transitional (for people working towards greater independence) and enduring/complex or end of life care.
The home is comprised of three buildings:
• Florence House, which can accommodate 37 people on pathways of care for acquired/traumatic and enduring/complex or end of life care.
• Westby House, which can accommodate six people on the transitional pathway; four people in transitional living units with shared facilities and two independent flats where people can prepare for moving on to independent living.
• Shelley House, main reception 'hub' for the service where day care and therapy services are based.
The home was last inspected in January 2014 when it was found to be meeting all the required standards.
There was a registered manager at the time of the inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
Overall, people were very positive and complimentary about the staff team and the way they cared for and supported people.
People felt safe living at the home and there were comprehensive systems to make sure that the environment and the way people were cared for and treated were safe.
Staff had been trained in safeguarding adults and were knowledgeable about the types of abuse and how to take action if they had concerns.
Accidents and incidents were monitored to look for any trends where action could be taken to reduce likelihood of their recurrence.
The service employed a multidisciplinary team and there were sufficient staff to meet the needs of people accommodated.
Recruitment procedures were being followed to make sure that suitable, qualified staff were employed at the home.
Medicines were managed safely and administered by trained staff.
The staff team were both knowledgeable and informed about people's care and treatment needs. There were good communication systems in place to make sure that different professionals involved in people's care were kept up to date and worked to agreed overall objectives.
Staff were well-supported through supervision sessions with a line manager, an annual performance review and also direct supervision or external peer supervision.
Staff and the registered manager were aware of the requirements of the Mental Capacity Act 2005 and acted in people's best interests where people lacked capacity to make specific decisions. People were consulted and gave consent to the care and treatment where they were able.
The home was compliant with the Deprivation of Liberty Safeguards with appropriate applications being made to the local authority.
People were provided with a good standard of food and their nutritional needs met.
People's care needs had been thoroughly assessed. Comprehensive and detailed care plans had been developed to inform staff of how to care for people. The plans were person centred, covered all areas of people's needs and were up to date and accurate.
People and staff were very positive about the standards of care provided at the home. People were treated compassionately as individuals with staff knowing people's needs.
People were involved in planning a programme of individualised activities to keep them meaningfully occupied and as part of their rehabilitation.
There were complaint systems in place and people were aware of how to make a complaint.
Should people need to transfer to another service, systems were in place to make sure that important information would be passed on so that people could experience continuity of care.
The home was well-led. There was a very positive, open culture in the home with staff proud of how they supported people.
There were systems in place to audit and monitor the quality of service provided to people.
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