Inspection on 17/01/07 for Shalom

This inspection was carried out on 17th January 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Shalom 04/10/05

Shalom 10/05/05

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 Sally Gill Key Unannounced Inspection 17th January 2007 10:20 Shalom DS0000023144.V307151.R01.S.doc Version 5.2 Page 1 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 Shalom DS0000023144.V307151.R01.S.doc Version 5.2 Page 2 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 Stationery 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 DS0000023144.V307151.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Shalom Address 95 Northdown Park Road Margate Kent CT9 2TU 01843 299216 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Clifford John Mackey Mrs Susan Margaret Mackey Mr Clifford John Mackey Mrs Susan Margaret Mackey Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Shalom DS0000023144.V307151.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th October 2002 Brief Description of the Service: Shalom is registered to provide accommodation for up to three adults with a learning disability. The three male service users currently have low to medium dependency needs. The owners Mr & Mrs Mackey provide all the care and support, helped occasionally by other family members. The premise is a spacious semi detached family property in a residential area of Cliftonville. All bedrooms are singles two having a wash hand basin and are situated on the first floor. The home is not suitable for those with mobility problems. Service users have the use of a bathroom and separate toilet. In addition there is a kitchen, utility, dining room and lounge with conservatory leading to a rear well maintained enclosed garden. There is a parking space plus on street parking to the front of the home. The home is set within a short distance of local shops, church, pub and café, rail and bus services and the seafront. The current fees range from £311.21 to £511.21 per week. A copy of the latest inspection report is available on request at the home. Shalom DS0000023144.V307151.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The key inspection was carried out over a period of time and concluded with an unannounced site visit to the home between 10.20am and 12.50pm. The inspector spoke to all service users and Mrs Mackey. Observations included interactions between the service users and Mrs Mackey. The inspection process consisted of information collected before and during the visit to the home. Feedback was received a relative, a care manager and a professional who visits the home regularly. Various records were viewed during the inspection. The inspector accessed most parts of the home. What the service does well: What has improved since the last inspection? What they could do better: Increases in fees should be recorded together with how service users are informed about these. Medication could be obtained in a monitored dosage system with pre-printed administration records. Shalom DS0000023144.V307151.R01.S.doc Version 5.2 Page 6 Service users views about the quality of care and support they feel they get could be 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. The summary of this inspection report can be made available in other formats on request. Shalom DS0000023144.V307151.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Shalom DS0000023144.V307151.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2&5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users needs were assessed prior to admission. Service users have written terms and conditions with the home. Although increases in fees need to be recorded. EVIDENCE: Case tracking confirmed good practice. Discussions with the owner evidenced service user admissions were well planned. The home is very much a family home where the service users are part of the family. The service users have lived with the family for at least nine years. Assessments were obtained prior to admission. Written terms and conditions of residence are in place. However the fee information is no longer up to date. The owner needs evidence the increased fees and how the service users are advised of these. Shalom DS0000023144.V307151.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users needs and goals are recorded in simple but clear care plans. Service users are part of the family and make their own decisions about their day-to-day lives and routines. Service users are supported to take risks as part of their independent lifestyle. EVIDENCE: Service users care needs are recorded in a care plan, which had recently been reviewed and up dated. The owner has a very good understanding of all service users needs and limitations. Daily records also confirmed that care needs are being met. Interactions between the service users and owner were good and show their interests are a priority. Discussions evidenced that service users are able to and do make their own decisions about their day-to-day lives and individual routines. Shalom DS0000023144.V307151.R01.S.doc Version 5.2 Page 10 Risk assessments are in place and had recently been reviewed. Assessments showed clearly risks and steps taken for reducing these. Shalom DS0000023144.V307151.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 12, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users have good links with the local community and enjoy a variety of activities and outings. The owners support service users to maintain good relationships with families. The rights and independence of service users has been developed to encourage and aid them to have and make choices in their day-to-day lives. Mealtimes are a family time with the emphasis on home cooking. EVIDENCE: Service users and the owner talked about their involvement in the local community. This includes the local church, bowls club, cinema, seafront activities, the theatre, meals out and other day trips to places of interest. Shalom DS0000023144.V307151.R01.S.doc Version 5.2 Page 12 Service users when able access the community independently. The annual holiday last year was taken in Hastings. Indoors the service users occupy themselves with television, music, cards, reading (daily newspapers are taken) and bird watching from the conservatory. Regular visits are made to families. One relative could not praise the home enough for the care and support they have given their relative. Daily routines are flexible to the service users. Independence is promoted as much as possible. All the service users have developed significant independence since living with the family. Service users are involved in meal preparation, washing up and laying the table for meals. Service users choose the menu and everyone sits together as a family for meals. Lunch was a delicious smelling homemade soup. Shalom DS0000023144.V307151.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users receive support in the way they prefer. Healthcare needs are met. Systems are in place for medication storage, administration and recording but these could be more robust. EVIDENCE: Service users have various degrees of independence in relation to personal support. The owner is well aware of this and the service users preferences. Personal care is offered in a way that protects service users privacy and dignity while promoting independence. Records and discussions showed that health care needs are met. A chiropodist visits the home regularly and confirmed that any advice and guidance is followed through into practice. Other needs are met in the local community. Shalom DS0000023144.V307151.R01.S.doc Version 5.2 Page 14 Medication is store securely. Medication is re-dispensed by the owner and then given at the necessary time. This is not considered good practice and could be improved by medicines being supplied from the chemist in a monitored dosage system, which would reduce the opportunity for errors. Medication records are maintained which again could be supplied on pre-printed MAR charts. The owner has undertaken administration of medication training. Shalom DS0000023144.V307151.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users know their complaints will be listened to and are protected from abuse. EVIDENCE: No complaints have been received for some time. Service users if they have any concerns usually raise them in an informal manner. The home has an open and informal atmosphere, which ensures service users feel a part of the family. The owner showed a good understanding of adult protection. Procedures are in place to de-escalation any disagreements between service users. Any incidents are recorded. It is suggested that any incidents are then discussed at service users reviews. The owner has received adult protection training. Service users finances are handled and recorded appropriately. Service users receive their personal allowance each week to spend as they wish. Shalom DS0000023144.V307151.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users enjoy a family orientated home which is clean, spacious and comfortable. EVIDENCE: A tour of the home evidenced a comfortable, clean and family orientated home. The home is spacious with all service users having an individual single bedroom reflecting their interests and hobbies. Service users confirmed that they are happy with their rooms. To the rear of the property is a conservatory, which looks out onto the garden providing good viewing for the bird tables and feeders. A utility room provides space for the laundry facilities. Shalom DS0000023144.V307151.R01.S.doc Version 5.2 Page 17 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 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Family members only support service users. EVIDENCE: The two owners staff the home. The majority of the time this is Mrs Mackey although Mr Mackey does provide most of the one to one support for one service user. When the owners require an occasional break other family members step in to support the service users. Both these family members are employed managing other care homes and have an NVQ qualification. No staff are employed. The owner has a very good understanding of service users needs. She has obviously built up individual positive relationships with all the service users. Shalom DS0000023144.V307151.R01.S.doc Version 5.2 Page 18 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 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from a family home which is run in their best interest. The owner needs to look at ways of recording service users views and satisfaction. The health, safety and welfare of service users are promoted. EVIDENCE: The owner has extensive experience and updates her training to keep abreast of current best practice. Mrs Mackey has an NVQ and attends other training to ensure her practice is up to date. She has positive relationships with professionals involved in the service users care. All those involved in the home had only positive things to say about the level of support and care provided at Shalom DS0000023144.V307151.R01.S.doc Version 5.2 Page 19 Shalom. Professionals confirmed that the owners offer service users a family home. Service users have annual reviews with their care managers. Quality assurance otherwise is currently all on an informal basis. It is recommended that the home develop a more formal quality assurance system. Information supplied by the home indicates that equipment and services are maintained and serviced adequately. Shalom DS0000023144.V307151.R01.S.doc Version 5.2 Page 20 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 Standard No Score 1 X 2 3 3 X 4 X 5 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 2 X X 3 X Shalom DS0000023144.V307151.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? N/A 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. Standard Regulation Requirement Timescale for action 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 2 3 Refer to Standard YA5 YA20 YA39 Good Practice Recommendations The home should evidence the increased fees and how the service users are advised of these Review the re-dispensing of medicines and consider supplies of medication in a monitored dosage system with pre-printed recording sheets The home should develop a more formal quality assurance system Shalom DS0000023144.V307151.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 DS0000023144.V307151.R01.S.doc Version 5.2 Page 23 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!