Shirelodge Nursing Home

“Shirelodge Nursing Home is a care home providing personal and nursing care. The service can support up to 65 older adults, including care for people with dementia, mental health and physical disabilities. At the time of the inspection the service was providing care for 58 people.”

“People were not consistently protected from avoidable harm because safety systems and processes were not always effective. Accidents, incidents and safeguarding concerns were not consistently managed, and opportunities to learn from safety events were sometimes missed.”

“Risks to people were not always appropriately assessed, monitored or mitigated. Although statutory compliance checks had been completed, environmental risks were not effectively managed, and infection prevention and control systems and process were not robust.”

“The provider was unable to demonstrate that staffing levels, competencies and skill mix consistently met the needs of people using the service. Medicines management and administration processes were also not sufficiently robust.”

“Leadership and organisational culture did not always promote the delivery of safe, high-quality care. Staff did not consistently feel able to raise concerns about safety. Governance and oversight systems were ineffective in ensuring the ongoing assessment, monitoring and improvement of the safety and quality of care provided.”

“The provider was found to be in breach of 5 legal regulations relating to safe care and treatment, need for consent, safeguarding service users from abuse and improper treatment, good governance and staffing. Although the provider shared some assurances that action was being taken in relation to the findings during our assessment, further work was required to drive change and improvement.”

“The service has been rated inadequate overall. The service is being placed in special measures. The purpose of special measures is to ensure that services providing inadequate care make significant improvements. Special measures provides a framework within which we use our enforcement powers in response to inadequate care and provide a timeframe within which providers must improve the quality of the care they provide.”

“In instances where CQC have decided to take civic or criminal enforcement action against a provider, we will publish this information on our website after any representations and/or appeals have been concluded.  ”