Shenehom Housing Association

Updated 25 May 2022

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 Health and Social Care Act 2008.

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 carried out by two inspectors.

Service and service type

Shenehom Housing Association provides accommodation and support for up to 13 adults with mental health needs. At the time of our inspection there were 11 people living in the home.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed the information we held about the inspection, including information received from the local authority and other stakeholders. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with three people who used the service about their experience of the care provided. We spoke with six members of staff including care workers, two care managers, the ancillary staff and the registered manager. We reviewed a range of records. This included three people’s care records and multiple medication records. A variety of records relating to the management of the service including, fire safety, quality assurance, safeguarding and complaints. We looked at three staff files in relation to recruitment and staff supervision. We spoke to three relatives. We also made contact with a professional that worked with the service.

Updated 25 May 2022

About the service

Shenehom Housing Association is a residential care home providing personal care for up to 13 people in one adapted building. The service provides support to those with a mental health diagnosis. At the time of our inspection there were 11 people using the service.

People’s experience of using this service and what we found

The management team were well thought of amongst staff, people and relatives. Quality assurance systems were in place to support oversight of the running of the home.

However, we have made a recommendation that management ensure audits are addressed in more detail. The provider worked with a range of professionals to meet people’s presenting needs.

People felt safe living at the home and felt that staff treated them well. Risk management was clear in enabling staff to support people as safely as possible. Infection control processes were followed in line with government guidance. Medicines were managed safely

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

Some staff training required updating, the service had a plan in place to ensure staff received refresher sessions. Staff were supported through regular supervision and appraisal. People were supported to eat and drink, as well as access healthcare professionals.

People felt well cared for, and that staff respected them. People were supported to be as independent as they could be. Where people had any religious or cultural needs these were accommodated, as well as the service celebrating a range of diverse events.

Care plans were clear and specific in guiding staff as to how they needed to meet people’s individual needs. People were encouraged to engage in activities that felt personalised to them across the home and in the community. Complaints processes were clear and managed appropriately.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was good (published 12 January 2018).

Why we inspected

This was an inspection based on the providers previous rating.

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 COVID-19 and other infection outbreaks effectively.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Shenehom Housing Association on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.