Latest Inspection
This is the latest available inspection report for this service, carried out on 4th May 2010. it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Shardlow Manor.
Annual service review
Name of Service: Shardlow Manor The quality rating for this care home is: The rating was made on: two star good service 1 3 1 1 2 0 0 8 A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.
Has this annual service review changed our opinion of the service?
No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Angela Kennedy Date of this annual service review: 0 8 1 2 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service
Address of service: 111 London Road Shardlow Derby Derbyshire DE72 2GP (01332)792466 01332792466 tpopowycz@btinternet.com Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Name of registered manager (if applicable) Ms Emma Salt Conditions of registration: Category(ies) : old age, not falling within any other category Conditions of registration: Mr Kevin James Popowycz,Mrs Tracey Jane Popowycz Number of places (if applicable): Under 65 Over 65 0 28 1. The registered person may provide the following category/ies of service only: Care home only Code PC 2. The maximum number of service users who can be accommodated is: 28 to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category Code OP Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service
Annual Service Review Page 2 of 7 1 3 1 1 2 0 0 8 Shardlow Manor is a Care Home registered to provide personal care and accommodation for up to 28 people in the category of older persons. The Home is situated in the village of Shardlow, which is located on the main A6 route from Derby to Loughborough. The Home has a front garden patio area, and a car park. Shardlow Manor has 22 single rooms, 17 have en-suite facilities and 3 double rooms. A variety of lounge and dinning room space is provided. The accommodation is on two floors, and there is a chairlift for access to the first floor. The Commissions Inspection reports are displayed in the entrance area of the Home. Annual Service Review Page 3 of 7 Service update since the last key inspection or annual service review:
What did we do for this annual service review? We looked at all the information that we have received or asked for since the last key inspection or annual service review. This included The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. Surveys returned to us by people using the service and from other people with an interest in the service. Information we have about how the service has managed any complaints. What the service has told us about things that have happened in the service these are called notifications and are a legal requirement. The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. Relevant information from other organisations. What other people have told us about the service. What has this told us about the service? The service sent us their annual quality assurance assessment (AQAA). It was clear and gave us all the information we asked for. We looked at the information provided by the registered manager and the surveys that were returned. We received ten surveys from people living at the home or their representatives, nine surveys from staff that worked at the home and one survey from a healthcare professional that visits the home. The information provided by the registered manager told us that the views of the people using the service were promoted and incorporated in the running of the home. This was done in the following ways. Through formal care reviews 6 monthly or annually or as necessary, for each person living at the home and their representatives to discuss their individual care plan. By implementing any changes and actioning any concerns promptly. By having an open door policy for people living at the home and their representatives, to enable them to feel comfortable raising concerns. By training staff to be approachable and non judgemental and value and respect the views of others using the service. By encouraging feedback from all by sending out questionnaires annually and by Annual Service Review Page 4 of 7 having comments and complaints slips available. By holding meetings for the people living at the home to inform them of the homes activities and invite anyone to participate and have an input with suggestions and preferences.The minutes and plans are displayed on notice boards around the home The registered manager told us that as a result of listening to people the following changes have been made. The colour of the uniforms has changed to show key lines of responsibility. The managers and senior carers now wear different colours as they previously wore the same colour. This helps people to identify their key workers as many people did not know who theirs were when asked. By increasing staffing levels slightly to allow staff to spend more time with individuals when providing personal care. The information received in the surveys returned by people that used the service and their relatives was very positive. All of the surveys confirmed that the care and support provided was to a high standard. Everybody confirmed that they knew how to make a complaint and that they knew who to speak to if they had any concerns. The information provided by the registered manager told us that the service had received one complaint within the last 12 months. It was confirmed that this complaint had been addressed within the required timescale. We have not received any complaints about the service. Comments within the surveys received by people that used the service and their relatives demonstrated that people were happy with the level of support and services offered at Shardlow Manor. Comments included, Shardlow Manor meet all my requirements efficiently, excellent, could not improve and they look after me very well, make sure I have the right medication and call for a doctor if I need one, they bath or shower me when I ask for one, make sure Im in bed safe at night and always make my family welcome. The food is very nice. The information provided by the registered manager told us how the people using the service were supported by an effective staff team. This was done in the following ways. By ensuring that all staff receive induction training and go on to complete an extensive programme of training including NVQ in direct care at levels 2 and 3 and management at level 4. By ensuring the training opportunities not only cover mandatory training but also an extensive package of specialist subjects. To ensure staff have the skills and knowledge required. By providing supervision to the staff. The registered manager told us that this is the key to a good staff team and the management conduct this on a regular basis. By ensuring there is a good skill mix of staff, of varying ages with varying knowledge and they are encouraged to share their knowledge and skills with each other.
Annual Service Review Page 5 of 7 By ensuring there is clear line of accountability, so that all staff know what is expected of them and their responsibilities. By setting aside additional staff hours each week for therapeutic activities and outings By ensuring that all staff are involved in some decision making and are kept informed of improvements or changes to the home. The information received in the surveys returned by staff working at the service was also positive. They confirmed that they were provided with the relevant training and management support. The staff surveys told us that they were provided with up to date information on the needs of the people they supported and that the communication between the management and care staff was good. Comments included, the management asks staff for ideas and involves staff, promotes team work and they talk to the service users about what they would like and involve them with decisions on how to improve their quality of life. The survey received from the healthcare professional that visited the home, was very positive regarding the standards of care and support the staff at the home provided. Comments within this survey included, care staff strive hard to give all residents the best possible care, they work hard in conjunction with district nurses and G.P.s to give residents every possible aspect of care during the terminal phase of life. This person said that they visited many care homes and felt that, Shardlow Manor stands head and shoulders above all the others. What are we going to do as a result of this annual service review? We are not going to change our inspection plan, and will do a key inspection by the 10th November 2010 However we can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using the service. The next inspection of this service will be based on the Fess and Frequency Regulations 2007 and the assessment of risk of the service. Further clarity will become evident as the new registration and inspection system under the Health and Social Care Act 2008 is confirmed. Annual Service Review Page 6 of 7 Reader Information
Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. Helpline:
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