Background to this inspection
Updated
24 June 2017
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This inspection took place on 21 April 2017 and was unannounced. The inspection was undertaken by one inspector and an expert-by-experience. An expert-by-experience is a person who has personal experience of using or caring for someone who uses this type of care service.
The provider completed a provider information return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.
During this inspection we spent time observing the care and support being delivered throughout the communal areas of the home. We spoke with a range of people about this home. We spoke with five people using the service. We also spoke with, the registered manager and four staff.
We looked at six staff files and checked training and recruitment records. We looked at various policies and procedures including safeguarding and complaints procedure.
Updated
24 June 2017
This inspection took place on 21 April 2017 and was unannounced.
Shivam Nursing Home provides accommodation and nursing care for a maximum of 15 older people, some of whom have dementia. At the time of our visit, there were 11 people using the service.
The home specialised in creating a homely environment for elderly Asian people. The home aimed to replicate the culture and environments that people were used to. The home’s philosophy was also centred at providing people with their religious, cultural and dietary requirements.
At the last inspection, the service was rated Good. At this inspection we found the service remained Good.
There were policies and procedures to keep people safe. This included safeguarding and whistleblowing policies. Written risk assessments were in place for people at risk. Staff were knowledgeable about how to keep people safe.
There were sufficient staff on duty to meet people’s needs throughout the day.
People’s medicines were handled safely. There were suitable arrangements for the recording, storage, administration and disposal of medicines in the home.
People were supported by staff who had the right skills and knowledge. Staff had received essential training for their role.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
People had access to a range of health care professionals. Referrals had been made to relevant professionals regarding people’s health needs.
Throughout the inspection we observed courteous interactions between staff and people using the service. Staff treated people with kindness and compassion.
People received the support they needed in relation to nutrition and hydration. The food in the home was fully Asian vegetarian.
People received personalised care that was responsive to their needs. People’s needs were assessed before they moved to the home. This was to make sure the home was fit to meet their needs.
The home carried out quality audits and records of these audits included details of action to be taken and action that had been taken to improve.
Further information is in the detailed findings below.