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Archived: Shalom Health Recruitment Ltd Good

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Inspection Summary


Overall summary & rating

Good

Updated 7 July 2017

We carried out a previous comprehensive inspection on 17 March 2016 at found five breaches of the Health and Social Care Act 2008 (Regulated activities) Regulations 2014. These breaches were in relation to safe care, complaints, governance, staffing, employment and recruitment processes, following this inspection the service was placed into special measures.

We carried out a further inspection of this service on the 9 November 2016 and found that the provider still required improvement in some areas and were still in breaches of some of the legal requirements. After the inspection the provider told us what action they would take. We undertook a further inspection on the 6 June 2017 and found that the provider had made improvements and the legal requirements were now being met.

Shalom Health Recruitment Ltd provides a domiciliary care service and is registered to deliver personal care and treatment of disease, disorder or injury to people in their own homes. On the day of our inspection, there was one person using the service who was being supported with palliative care by four members of staff. We were able to speak with relatives whose loved ones had used the service over the last year. They were able to comment specifically on the care provided to people at the end of life in their own homes.

At the last inspection we found that improvements needed to be made around the recording of risks and how to mitigate them to ensure people received safe care. We found that care plans were not sufficiently detailed or personalised to provide an accurate description of the person’s lifestyle, and support needs. At this inspection we found that improvements had been made to these areas.

A registered manager was in place. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

There were sufficient numbers of staff who had been recruited safely and who had the skills and knowledge to support people in the way they preferred. Staff had developed good relationships with people who used the service and understood the need to obtain consent when providing support.

Staff knew how to minimise risks and provide people with safe care and there were procedures and processes which guided staff on how to ensure the safety of the people who used the service. These included checks on the environment and risk assessments which identified how risks to people were minimised.

People's relatives told us they were aware of how to make a complaint and that the registered manager listened to them and was interested in their views.

Systems were in place for people to be supported to have maximum choice and control of their lives and staff supported people in the least restrictive way possible. Policies supported this practice.

The person that was being supported at the time of the inspection did not require help to meet their nutritional needs, however systems were in place to support people to eat at a time and in a way that they choose.

A quality assurance system was in place and as a result the service continued to develop and improve. We recommended that the registered manager reviews the resources available on the skills for care website, to support them to develop their understanding of quality assurance. We also recommended that the registered manager looks at ways they can access shared learning opportunities and develop their knowledge around best practice.

Inspection areas

Safe

Good

Updated 7 July 2017

The service was safe.

Staff supported people to minimise risk and stay safe.

Sufficient staff were deployed to meet people�s needs.

Systems were in place so that staff could support people to take their medicines safely.

Effective

Good

Updated 7 July 2017

The service was effective.

Staff were suitably trained and received regular supervision.

Systems were in place to ensure that staff could support people to eat and drink in line with their preferences.

The registered manager and staff understood the legal requirements of the Mental Capacity Act 2005 and the associated Deprivation of Liberty Safeguards.

Caring

Good

Updated 7 July 2017

The service was caring.

Staff knew people well and relatives told us they treated people with compassion.

People were involved in making decisions about their care and the support they received.

Responsive

Good

Updated 7 July 2017

The service was responsive.

Staff met people�s care needs in a flexible way.

Staff received detailed guidance about how to meet people�s care needs.

People�s concerns were dealt with effectively.

Well-led

Good

Updated 7 July 2017

The service was well led.

Staff were encouraged and well supported by the manager and were clear on their roles and responsibilities.

Audits were completed to assess the quality of the service and these were used to drive improvement.

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