Inspection on 04/10/05 for Shalom

This inspection was carried out on 4th October 2005.

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 17/01/07

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 Elizabeth Hendry Announced Inspection 4th October 2005 09:00 Shalom DS0000023144.V258466.R01.S.doc Version 5.0 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.V258466.R01.S.doc Version 5.0 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.V258466.R01.S.doc Version 5.0 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 Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Shalom DS0000023144.V258466.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th May 2005 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 registered owner and family members. Shalom DS0000023144.V258466.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was the homes first annual announced inspection. 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: Shalom DS0000023144.V258466.R01.S.doc Version 5.0 Page 6 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 DS0000023144.V258466.R01.S.doc Version 5.0 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.V258466.R01.S.doc Version 5.0 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 the following standard(s): 1 and 2 The homes statement of purpose and service user guide are good, providing service users and prospective service users with the information they need to make a decision about moving into the home. Service users move into the home knowing that their individual needs and aspirations will be fully met. EVIDENCE: A copy of the homes service user guide was viewed and found to contain all required information with the exception of the fire procedure within the home. The registered manager provided written confirmation that since the announced inspection this has been included within the guide. The statement of purpose has been reviewed and updated since the last inspection and now fully complies with the Care Homes Regulations 2001. Clear descriptions of services available to residents were found within both documents. A copy of the last inspection report is available upon request within the home. Individual needs assessments were viewed for all residents of the home, and daily reports viewed confirmed that individual needs and interests were fully met. The registered manager confirmed that not new service users have been admitted to the home for many years. The manager added that should a vacancy arise, a joint assessment with care managers would be undertaken to ensure suitability of the home. Shalom DS0000023144.V258466.R01.S.doc Version 5.0 Page 9 Shalom DS0000023144.V258466.R01.S.doc Version 5.0 Page 10 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 the following standard(s): 6,7 and 9 The care planning system is clear and consistent, providing staff with the information they need to meet the service users needs. Staff within the home encourage service users to make decisions regarding their lives. Service users are provided with support and information to make decisions and take measured risks. 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. Risk assessments showed sign of recent review and service user involvement. Hazards, level of risk and strategies for reducing risks were clear and provided detailed instructions for staff to follow. Daily records viewed confirmed that service users were involved in making decisions regarding their daily routine. Throughout the inspection staff were seen to be interacting well with service users. Shalom DS0000023144.V258466.R01.S.doc Version 5.0 Page 11 Shalom DS0000023144.V258466.R01.S.doc Version 5.0 Page 12 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 the following standard(s): 13 and 15 Links with the community are good, which and enrich service users social and educational opportunities. Service users are supported to maintain personal relationships. 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. The registered manager explained that due to the older age group of the residents many prefer to spend time within the home relaxing or watching television. Shalom DS0000023144.V258466.R01.S.doc Version 5.0 Page 13 The registered manager confirmed that additional staff are available when required. Service users are supported to maintain strong relationships with family and friends; individual care plans clearly identify level of contact and preferred methods. Shalom DS0000023144.V258466.R01.S.doc Version 5.0 Page 14 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 the following standard(s): 18,19 and 20 Personal care is offered in a way manner that protects service users privacy and dignity while promoting independence. Service users health care needs are fully met. Systems are in place for the storage, administration and recording of all medication within the home. EVIDENCE: Individual care plans identified the level of support each service user requires in order to maintain independence and privacy. Family members spoke of supporting service users without impinging their personal space. Service users have been supported in creating individual styles with regards to dress and appearance. Records viewed confirmed that health care needs of both residents are fully met; any problems identified are quickly addressed. 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. Policies and procedures viewed contained all required information. Shalom DS0000023144.V258466.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Service users know their complaints will be listened to. Staff have an excellent knowledge and understanding of adult protection issues, which protects service users from possible abuse. EVIDENCE: The home has a comprehensive complaints policy, which is easily accessible for all service users. The registered manager spoke of service users raising any concerns in an informal manner. The home has an open and informal atmosphere, which ensure service users feel a part of the family. 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 DS0000023144.V258466.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 The standard of the environment is good providing Service Users with an attractive and homely place to live. EVIDENCE: 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 encouraged to personalise their bedrooms. The home was free from any offensive odours and was found to be thoroughly clean throughout. A large utility room is situated to the rear of the property, where a domestic washing machine and tumble dryer are located. Ceramic floor tiles provide impermeable and hygienic flooring throughout the utility room. Shalom DS0000023144.V258466.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 and 35 Staff have a good understanding of service users support needs. This is evident from positive relationships, which have formed between staff and service users. Recruitment procedures are adhered to ensuring that service users only receive care and support from appropriately vetted staff. EVIDENCE: Staff training records were viewed, certificates for a wide variety of courses relevant to the service user group were present. The registered manager demonstrated a commitment to personal development and training in order to fully meet the changing needs of the service users. The registered owners had a sound understanding as to the needs of each of the residents. The home has built constructive relationships with healthcare professionals; this was evident from records viewed. Of the three members of the family involved in the care of the residents, all have had enhanced criminal bureau checks. At the time of the inspection no external staff were employed by the home. Shalom DS0000023144.V258466.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality Assurance policies and procedures within the home are good, ensuring individual views are listened too and acted upon. The management of the home is good overall and records are managed effectively. The health, safety and welfare of service users are promoted and protected. EVIDENCE: The Registered 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 Registered Manager confirmed that should a resident request to see their individual files, support would be given in understanding the contents. The Registered Manager spoke of service users raising concerns in an informal manner. Completed service user questionnaires issued as part of the inspection confirmed that all service users were happy within the home and Shalom DS0000023144.V258466.R01.S.doc Version 5.0 Page 19 they felt able to discuss issues with the owner as and when needed. Service users are encouraged to participate in the running of the home, which was evidenced within daily reports. Health and safety records viewed illustrated that regular safety checks are undertaken by outside agencies. Shalom DS0000023144.V258466.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 3 14 X 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 3 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Shalom Score 3 3 3 X Standard No 37 38 39 40 41 42 43 Score 3 X 3 X X 3 X DS0000023144.V258466.R01.S.doc Version 5.0 Page 21 No 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. 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. Refer to Standard Good Practice Recommendations Shalom DS0000023144.V258466.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Kent and Medway Area Office 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. 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