Inspection on 10/05/05 for Shalom

This inspection was carried out on 10th May 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Shalom 17/01/07

Shalom 04/10/05

Shalom 29/06/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Shalom 95 Northdown, Park Road Margate Kent CT9 2TU Lead Inspector Elizabeth Hendry Unannounced 10/05/2005 at 10:00hrs The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Shalom H05 H56 S23144 Shalom V224433 10052005 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Shalom Address 95 Northdown, Park Road, Margate, Kent, CT9 2TU Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01843 299216 Mr Clifford John Mackey Mr Clifford John Mackey Care Home 3 Category(ies) of Learning Disability (3) registration, with number of places Shalom H05 H56 S23144 Shalom V224433 10052005 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: No Date of last inspection 29 June 2004 Brief Description of the Service: Shalom provides residential care for up to three gentlemen who require varying degrees of assistance arising from their learning disabilities. Whilst the home does not provide specialist services, it has access to all necessary specialist services within the community. The home comprises of a semi detached family property in a residential area in Cliftonville. The home is within short distance of ammenities such as rail and bus services, health centres, colleges and day centres, shops and churches, a library and a concert hall. Staffing comprises of the registere downer and family members. Shalom H05 H56 S23144 Shalom V224433 10052005 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was the homes first annual unannounced visit, which took place over the course of a morning. Time was spent with the registered owner/manager, family members and service users. A tour of the home was conducted and records, policies and procedures were viewed. What the service does well: What has improved since the last inspection? What they could do better: Further development to the homes service user guide and statement of purpose is required to ensure compliance with the care homes regulations 2001. Shalom H05 H56 S23144 Shalom V224433 10052005 Stage 4.doc Version 1.30 Page 6 Quality assurance procedures need additional development to ensure the views and opinions of residents, family and visiting professionals are appropriately obtained and recorded. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Shalom H05 H56 S23144 Shalom V224433 10052005 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Shalom H05 H56 S23144 Shalom V224433 10052005 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1 The homes statement of purpose and service user guide are inadequate and do not provide sufficient information for prospective service users to be sure the home can meet their needs. EVIDENCE: The homes statement of purpose and service user guide require further development to include information detailed in schedule 1 of the care homes regulations 2001. Service users currently residing at the home have lived there for many years and as a result have a clear understanding as to the facilities and services available to them. It was explained to the manager that should any prospective service users visit the home a copy of the guide would need to be provided. Service users within Shalom have limited communication skills and as such information gleaned was very limited. Staff within the home spoke of having developed specific communication techniques and methods in order to provide the residents with information regarding the home. Shalom H05 H56 S23144 Shalom V224433 10052005 Stage 4.doc Version 1.30 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6 and 9 The care planning system is clear and consistent, providing staff with the information they need to meet the service users needs. EVIDENCE: Staff spoken to had a clear understanding of the needs and limitations of all residents within the home. They confirmed that service users are fully aware of the contents of their care plan and are involved as much as is practicable in the ongoing review of each plan. Evidence was seen to support this in the form of service user signatures within each individual file. The registered owner/manager spoke of reviewing the method in which individual risk assessments were recorded in order to provide a clearer picture for all members of staff. Shalom H05 H56 S23144 Shalom V224433 10052005 Stage 4.doc Version 1.30 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14 and 17 Links with the community are good and support and enrich service users social and educational opportunities. EVIDENCE: The registered manager/ owner spoke of the service users being involved and attending various community based activities and interests. Regular attendance at a local church and day centre provide residents with the opportunity to meet a wide range of people from differing backgrounds with and without similar disabilities. Where it has been appropriately risk assessed and documented within individual care plans, service users are able to go out into the community independently. A wide range of activities, excursions and holidays are undertaken on a regular basis, individuals are encouraged to express particular interests and preferences at every opportunity. Within the home there is a variety of entertainment available. Staff spoke of service users complementing meals on a daily basis and that where appropriate service users are encouraged to assist in the preparation of lunch and snacks. Shalom H05 H56 S23144 Shalom V224433 10052005 Stage 4.doc Version 1.30 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 20 Systems are in place for the storage, administration and recording of all medication within the home. EVIDENCE: Medication is recorded, administered and stored in line with the Royal Pharmaceutical Guidelines of Great Britain. The manager has undertaken a Clients First Management of Medication training course and spoke of developing policies and procedures regarding medication. Shalom H05 H56 S23144 Shalom V224433 10052005 Stage 4.doc Version 1.30 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 23 Staff had a good knowledge and understanding of Adult Protection issues, which protects Service Users from abuse. EVIDENCE: Staff spoken to had a comprehensive understanding of adult protection issues and procedures to follow should the need arise to report possible abuse. Deescalation techniques are used as and when required and instances of its use are recorded within the individual report sheets. Service users are responsible for, and manage their own finances. Shalom H05 H56 S23144 Shalom V224433 10052005 Stage 4.doc Version 1.30 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 The standard of the environment is good providing Service Users with an attractive and homely place to live. EVIDENCE: A tour of the home was undertaken, a good standard of decoration and furnishing was found throughout the home. Fixtures and fittings were domestic in nature. To the rear of the property there is a large garden and conservatory, which provides additional seating and living space for the residents. The manager spoke of service users being able to personalise their on bedrooms. Shalom H05 H56 S23144 Shalom V224433 10052005 Stage 4.doc Version 1.30 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 Staff have a good understanding of service users support needs. This is evident from positive relationships, which have formed between staff and service users. EVIDENCE: Staff spoke knowledgeably of all residents’ needs, personalities, and routines. There is a good ratio of staff to service users, which provides flexibility for individual activities and interests to be undertaken. There is a mix of skills and experience provided by the staff team. Shalom H05 H56 S23144 Shalom V224433 10052005 Stage 4.doc Version 1.30 Page 15 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 41 The management of the home is satisfactory overall and records are managed effectively. EVIDENCE: The manager spoke of developing daily records for all service users that document the individual’s daily activities, meals and medication. Individual files viewed supported this. All information pertaining to service users is kept locked and secure. The manager confirmed that should a resident request to see their individual files, support would be given in understanding the contents. Shalom H05 H56 S23144 Shalom V224433 10052005 Stage 4.doc Version 1.30 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 x x x x Standard No 22 23 ENVIRONMENT Score x 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x x Standard No 11 12 13 14 15 16 17 x 3 3 3 x x 3 Standard No 31 32 33 34 35 36 Score x x 3 x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Shalom Score x x 2 x Standard No 37 38 39 40 41 42 43 Score x x x x 3 x x H05 H56 S23144 Shalom V224433 10052005 Stage 4.doc Version 1.30 Page 17 yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 1 Regulation 4 Requirement Timescale for action 01 September 2005 2. 20 13 The registered person shall complile a statement of purpose to ensure compliance with schedule 1 of the care homes regulations 2001. The registered manager is to compile a service user guide. The registered person is to 01 develop policies and procedures September 2005 in relation to the storage, administration and recording of all medication. Written consent should be gained from each service user for management of medication within home. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Shalom H05 H56 S23144 Shalom V224433 10052005 Stage 4.doc Version 1.30 Page 18 Commission for Social Care Inspection 11th Floor, International House Dover Place Ashford Kent TN23 1HU National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Shalom H05 H56 S23144 Shalom V224433 10052005 Stage 4.doc Version 1.30 Page 19 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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