Archived: Kadima Support UK Limited No 23

Updated 21 August 2015

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked 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 24 June 2015. The inspection was conducted by two inspectors. Before the inspection, we reviewed the information we held about the service including notifications received by the Care Quality Commission.

We used a number of different methods to help us understand the experiences of people using the service. We spent time observing care in the communal areas such as the lounge and kitchen areas and met with all three people living in the home. We spoke with a support worker, a domestic worker and the manager of another home owned by the registered provider (as the registered manager was on leave).

We looked at all three people’s care records, five staff files and training records, a month of staff duty rotas, and the current year’s accident and incident records, quality assurance records and maintenance records. We also looked at selected policies and procedures and current medicines administration record sheets.

Following the inspection visit we spoke with a health care professional who supported people using the service.

Updated 21 August 2015

This inspection took place on 24 June 2015 and was unannounced. Kadima Support UK Limited No 23 is a care home for up to five adults with mental health problems. This was the first inspection of the service since it registered with the Care Quality Commission on 17 October 2014, having been previously owned and managed by a different provider. At the time of the inspection there were three people living at the home.

There was a registered manager in post. A registered manager is a person who has registered with the 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.

People had opportunities to take part in activities within and outside of the home, although some indicated that they would like to have more options. There were clear records in place for planning and monitoring the care and support provided to people. Systems were in place to ensure that their consent was sought for all care provided.

People were happy with the support provided in the home and had developed good relationships with staff members who knew them well, and understood their needs. Health care professionals spoke positively about the service. People had been included in planning the care provided and they had individual plans detailing the support they needed.

The service had an appropriate recruitment system for new staff to assess their suitability, and we found that staff were sensitive to people’s needs and choices, supporting them to develop or maintain their independence skills, and work towards goals of their choosing, such as moving into more independent accommodation. People were treated with respect and compassion. They were supported to attend routine health checks and their health needs were monitored within the home. The home was well stocked with fresh foods, and people’s nutritional needs were met effectively. There were suitable systems in place for managing people’s medicines safely.

Staff in the service knew how to recognise and report abuse, and what action to take if they were concerned about somebody’s safety or welfare. Staff spoke highly of the support, supervision and training provided to ensure that they worked in line with best practice.

There were systems in place to monitor the safety and quality of the home environment. The home was clean and well maintained. Regular audits were undertaken to check on the quality of care provided and consult with people using the service and other stakeholders about any areas for improvement. A suitable complaints procedure was in place for the home, and people told us that their concerns were addressed by the home’s management.

We have made a recommendation about the recording of risk assessments for people living at the home to ensure that they provide clear information about how to address all identified risks.