Sheringham House

On this page

• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

Well-led – this means we looked for evidence that service leadership, management and governance assured high-quality, person-centred care; supported learning and innovation; and promoted an open, fair culture.

At our last assessment we rated this key question Good. At this assessment the rating has remained the same. This meant the service was consistently managed and well-led. Leaders and the culture they created promoted high-quality, person-centred care.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Shared direction and culture during this assessment. The score for this quality statement is based on the previous rating for Well-led.

The home manager knew the service, people and staff well. Staff were positive about the management of the service. We saw the home manager had a good relationship with people and staff. There was an open and inclusive culture at the service.

The home manager told us they were available and had an open-door policy, which meant that people, families, and staff could speak to them. The home manager also told us they felt supported by the senior management team.

Staff were positive about the home manager. A staff member told us, “[Home manager] is a good manager.” Another staff member said, “Since the manager has worked here, I think the service has improved. Whenever I need any support, they make themselves available for me to meet with them.”

People were positive about the home manager. A person said, “The manager goes to football with me, which is fun.”

The service had a whistleblowing policy, which included details on how to raise concerns both internally and externally. This allowed staff freedom to speak up. Staff feedback was also sought as part of supervisions and staff meeting.

Staff knew how to use the whistleblowing policy and understood their role and responsibilities of reporting concerns and knew who to go to if they needed to.

The home manager told us how they supported staff to speak up, “We cover this in all staff induction. I also discuss the importance of reporting concerns in staff meetings and supervisions.”

We did not look at Workforce equality, diversity and inclusion during this assessment. The score for this quality statement is based on the previous rating for Well-led.

A range of audits were carried out covering different areas such as care plans and medicine management. We saw evidence that the provider had an online system that analysed and scheduled a range of audits such as on care plans, risk assessment, and health and safety. The system also notified the management team when an audit was due to be completed and the actions that was required.

In addition to audits, meetings were held with staff to obtain feedback and make improvements where possible. Feedback was also sought from people and relatives. A person told us that the home manager was approachable and listened to them. A staff member told us, “[Home manager] is good and supportive person.”

However, we saw that CCTV was in place throughout the home and the correct process had not been applied prior to the implementation of the CCTV such as seeking people’s consent and adhering to policies. We fed this back to the home manager who informed that CCTV was not being recorded, and data not kept of the recordings. The home manager told us that this had been disconnected completely and would not be in use following our findings. Should CCTV be implemented in the future, the home manager told us the correct processes will be followed.

The home manager and staff told us they worked in partnership with health and social professionals to ensure people were in the best of health at all times.

Partners we sought feedback from did not raise concerns about the service and provided positive feedback.

Records showed the service worked in partnership with social and health professionals to ensure people received safe and effective support.

We did not look at Learning, improvement and innovation during this assessment. The score for this quality statement is based on the previous rating for Well-led.