Archived: Shivam Nursing Home

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.

Overall, people who used the service were positive about the care provided. One person told us that they were 'very happy' at the home and 'felt at home'. Another person told us that staff were 'very good and friendly'. One relative told us that their relative was 'treated respectfully by all staff'.

People who used the service were from an Asian background and therefore the home catered to their cultural needs and requirements. The home only served vegetarian food for people who used the service. Two people who used the service told us that the food was 'very nice'.

We looked at three care records and these indicated that the individual needs of people had been attended to. The care records contained appropriate assessments, care plans and details of regular reviews. There was documented evidence that the healthcare needs of people had been attended to and there were records of appointments with healthcare professionals.

Staff we spoke with told us that they felt supported by management and were positive about working at the home. We saw evidence that staff had undergone training and had received supervision and appraisals.

Staff demonstrated that they were aware of what action to take when responding to allegations or incidents of abuse and had received training in safeguarding people.

Staff had a good understanding of the varied communication needs of people living in the home, and could speak to them in their first language as well as in English.

Each person had an up to date written plan of care. People's preferences were considered in relation to the care and support they received, and people were provided with treatment and advice from a variety of health and social care professionals.

People told us they made decisions about their lives. We saw people make a number of choices. These included deciding what they wanted to eat, and what they wanted to do. These choices were respected by staff.

People spoke about the activities they participated in and enjoyed. We saw people took part in a range of leisure activities. People's religious and cultural needs were met. People's independence and skills were promoted and supported by staff.

People told us they felt safe and knew who to talk to if they had any worries or concerns.