Shardlow Manor is a residential home that provides care for up to 28 people and some people are living with dementia. At the time of our inspection there were 23 people living in the home. At the last inspection, in December 2015, the service was rated Good. At this inspection we found that the service remained Good.

People continued to receive safe care. Staff were appropriately recruited and there were enough staff to provide care and support for people to meet their needs. People were consistently protected from the risk of harm and received their prescribed medicines safely.

The care that people received continued to be effective. Staff had access to the support, supervision, training and ongoing professional development that they required to work effectively in their roles. We saw people were supported to maintain good health and nutrition.

People had developed positive relationships with the staff who were caring and treated people respectfully, with kindness and courtesy. People had personalised plans of care in place to enable staff to provide consistent care and support. We saw this was in line with people’s personal preferences.

People told us they knew how to raise a concern or make a complaint and the provider had implemented effective systems to manage any complaints that they may had received.

The provider had a positive ethos and an open culture. The registered manager was a visible role model in the home. People, their relatives and other professionals told us they had confidence in the managers and provider’s ability to deliver consistently high quality managerial oversight, and effective leadership to the home.

Shardlow Manor is a residential home that provides care for up to 28 people and some people are living with dementia. At the time of our inspection there were 23 people living in the home. At the last inspection, in December 2015, the service was rated Good. At this inspection we found that the service remained Good.

People continued to receive safe care. Staff were appropriately recruited and there were enough staff to provide care and support for people to meet their needs. People were consistently protected from the risk of harm and received their prescribed medicines safely.

The care that people received continued to be effective. Staff had access to the support, supervision, training and ongoing professional development that they required to work effectively in their roles. We saw people were supported to maintain good health and nutrition.

People had developed positive relationships with the staff who were caring and treated people respectfully, with kindness and courtesy. People had personalised plans of care in place to enable staff to provide consistent care and support. We saw this was in line with people’s personal preferences.

People told us they knew how to raise a concern or make a complaint and the provider had implemented effective systems to manage any complaints that they may had received.

The provider had a positive ethos and an open culture. The registered manager was a visible role model in the home. People, their relatives and other professionals told us they had confidence in the managers and provider’s ability to deliver consistently high quality managerial oversight, and effective leadership to the home.

People and their family members we spoke with told us they were happy with the care and service received at Shardlow Manor Residential Home. People using the service told us that they felt that their needs were being met. Comments included “My experience so far has been very good, I am being looked after very well” and “Its lovely here, I am happy.”

We saw that people's needs were assessed, and care plans were in place. This meant they received support in a way that met their needs.

People told us they enjoyed their meals and said that they received enough to eat and drink. Comments from people included “The food is very good” and “We always get plenty to eat and there is always a choice.”

The provider did not have appropriate arrangements in place to manage medicines, for example safe practices were not in place when administering medication.

The provider had carried out sufficient pre-employment checks on staff members.

Whilst checking complaint records during the inspection visit we identified a safeguarding incident, which had not been shared with the relevant authorities. This showed that the provider did not have an effective system in place for identifying, receiving, handling and responding appropriately to complaints and comments made by people using the service, or persons acting on their behalf.

Staff told us that they worked well together as a team, and felt supported by senior staff.

We spoke with four people using the service, one visitor, three staff and two visiting professional’s during the inspection visit.

People we spoke with told us they were very happy with the support they received from staff. They told us that their needs were met and confirmed that staff were available to support them when needed. Comments included “the staff always listen to me and they understand my needs” and “staff are always around.”

One person at the service told us “there is no place like home, but I am content here.”

People we spoke to confirmed that staff respected their privacy and dignity when supporting them with personal care. Comments included “staff always knock, before entering my room” and “all the staff are extremely polite.” This ensured people’s dignity was maintained.

People told us that they felt safe living at the service, and were able to report any concerns they may have to staff or the manager.

We saw that people's needs were assessed, and care plans were in place. This meant they received support in a way they preferred and met their needs.

Not all areas of staff training were up to date. This did not ensure people's health and welfare needs were met by a competent staff team.

This was a focused visit to check if the compliance action and improvement actions made following our previous visit 6 May 2011 had been addressed. Therefore we did not speak to the people using the service at this visit. People that we spoke with at our visit on 6 May 2011 confirmed that they were happy with the support and services provided to them.

People that we spoke with confirmed that their dignity and privacy was respected by the staff team. Throughout the day we observed staff treating people with courtesy and respect.

Information from visitors to the home confirmed that they were included and involved in decisions regarding consent to their relatives care and treatment.

Comments from visitors confirmed that they were happy with the care and support provided, such as “I have been extremely satisfied with the care given to my mother” and “ There are regular social activities within the home and contact with outside groups, such as church groups”. Another relative said” there’s plenty of organised activities and I know Dad has enjoyed being part of the social scene at Shardlow Manor”

People using the service told us that they enjoyed the activities that were available to them but confirmed that they were also able to spend time alone if they preferred. One person told us that they went out to their local pub most evenings but during the day liked to spend time in their room reading or watching TV, they told us they “couldn’t fault” the support they received from the staff team.

Both visitors and people using the service confirmed that the meals provided by the home were enjoyed. One visitor said,” One major plus point for dad is the food and catering” another visitor said, “ the dining room is a hive of activity, with people chatting, laughing and being seated, all is quite once the food arrives, which is also very good”

People using the service told us that the home was well maintained. Comments from visitors also confirmed this. Comments included, “all residents seem very comfortable, this gives me great reassurance that I can come home and not worry about my mother’s safety and care”.

People that we spoke to told us that that staff were available when they needed any support or assistance.