Archived: Shalom Health Recruitment Ltd

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.

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 and three staff who provided care and support.

There had been improvements to the management, recruitment and quality monitoring systems. A small number of improvements were still required to be made to the service including the recording of risks and how to mitigate them to ensure people received safe care and care plans were not sufficiently detailed or personalised to provide an accurate description of the person’s lifestyle, care and support needs.

A new 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.

The service had improved by having appropriate systems in place to protect people from harm. Staff recruitment processes and the necessary checks had been undertaken to ensure staff had been recruited safely. There were sufficient staff working at the service with the knowledge and skills to provide people with safe care and treatment.

The management of medicines was in place to ensure people received their medicine in a safe and timely way and people were supported to meet their nutritional needs at a time and in a way they wanted. The way staff spoke about people who used the service was respectful and kind. Caring relationships had been developed and people were involved in their care arrangements.

An induction and training programme was in place to provide staff with the skills and knowledge to support them to carry out their role and responsibilities.

Some quality assurance arrangements were in place and checks were carried out by a registered manager who oversaw the day to day management of the service. Processes were in place to deal with people’s concerns and complaints.

At this inspection we found the service to be in breach of Regulations 12, 16, 17, 18 and 19 of the Health and Social Care Act 2008 (Regulated activities) Regulations 2014.

The overall rating for this service is ‘Inadequate’ and the service is therefore in ‘special measures’. Services in special measures will be kept under review and, if we have not taken immediate action to propose to cancel the provider’s registration of the service, will be inspected again within six months.

The expectation is that providers found to have been providing inadequate care should have made significant improvements within this timeframe. If not enough improvement is made within this timeframe so that there is still a rating of inadequate for any key question or overall, we will take action in line with our enforcement procedures to begin the process of preventing the provider from operating this service. This will lead to cancelling their registration or to varying the terms of their registration within six months if they do not improve.

This service will continue to be kept under review and, if needed, could be escalated to urgent enforcement action. Where necessary, another inspection will be conducted within a further six months, and if there is not enough improvement so there is still a rating of inadequate for any key question or overall, we will take action to prevent the provider from operating this service. This will lead to cancelling their registration or to varying the terms of their registration.

For adult social care services the maximum time for being in special measures will usually be no more than 12 months. If the service has demonstrated improvements when we inspect it and it is no longer rated as inadequate for any of the five key questions it will no longer be in special measures.

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 second day of our inspection, there were three people using the service and between two and four staff supporting them.

A registered manager was in place but was not available on the dates of the inspection. 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.

The service did not have appropriate systems in place to protect people from harm.

Staff recruitment processes were not robust and the necessary checks had not been undertaken to ensure staff had been recruited safely.

There were insufficient staff working at the service with the knowledge and skills to provide people with safe care and treatment.

The safe management of medicines was not in place with the required checks about the competence of staff skills and abilities.

Staff did not receive the required induction, training, supervision and support to undertake their role.

Processes were not in place to deal with people’s concerns. Complaints made about the service were not dealt with appropriately.

Quality assurance arrangements were not carried out as there was no management of the day to day running of the service.

Risks to people’s health and wellbeing were appropriately assessed and reviewed. Support plans were sufficiently detailed and provided an accurate description of people’s care and support needs.

People were supported to meet their nutritional needs with the input from family.

People were treated with kindness and respect by staff and their dignity was maintained. Caring relationships had been developed and people were involved in their care arrangements.