We carried out a review of the data available to us about Shalom Home Care Limited on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Shalom Home Care Limited, you can give feedback on this service.
Shalom Home Care Limited is a domiciliary care service. The service provides personal care to people living in their own homes. At the time of the inspection there were 11 people using the service.
Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided.
People’s experience of using this service and what we found
An electronic monitoring system was in place to record people’s care and support. However, additional training for staff, consistency of use and improved monitoring was required to ensure the system was used effectively to monitor the quality of the service provided.
People were not always confident in the management of the service, they spoke of difficulties in contacting office-based staff, and gaining a quick response to their query. Some people spoke of the minimal contact they had with the registered manager, which had had a negative impact on their views as to the service they received. Surveys were used to gather people’s views about the service, however not everyone could remember being involved.
We found improvements had been made to the recording and planning of staff supervision and training, and the recording and management of people’s medication. The registered manager had undertaken training to enable them to deliver training to staff, and had attended forums to share information and ideas.
Staff had regular meetings and supervision, which provided opportunities for them to share their views and receive support and guidance. Staff spoke positively of the support they received, which included the sharing of information during the Covid-19 pandemic. A covid-19 contingency plan was in place, and staff had received training on Covid-19, infection control and prevention and the correct use of Personal Protective Equipment (PPE).
Staff had a good understanding of people’s needs and were aware of their responsibilities in keeping people safe, which included reporting any concerns they had with regards to people’s health and welfare.
Rating at last inspection
The last rating for this service was requires improvement (published, 16 May 2019).
We carried out an announced comprehensive inspection of this service on 30 April and 01 May 2019. Two breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve medicine management and good governance.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contained the requirements.
The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Shalom Home Care Limited on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
At the time of the inspection, 35 people received personal care from Shalom Home Care Limited.
People’s experience of using this service:
People did not always receive safe care. At our last inspection in October 2016, we found inconsistencies with medicines policy and procedures. At this inspection, we found there were still problems in this area. Staff were administering medicines without recording the information accurately.
Audits used were not always effective. Medication administration records were not properly checked, and mistakes were not always found and acted upon.
Care plans did not always reflect people likes dislikes and preferences.
Risk assessments were in place to manage risks within people’s lives.
Staff recruitment procedures ensured that appropriate pre-employment checks were carried out.
People told us that staff arrived mostly on time, and they received the support they required.
Staff were trained to support people effectively.
Staff were supervised and felt confident in their roles.
When required, people were supported by staff to prepare food.
When required, people had support with healthcare arrangements.
People's consent was gained before any care was provided, and they were supported to have maximum choice and control of their lives.
Staff treated people with kindness, dignity and respect and spent time getting to know them.
People were supported in the least restrictive way possible.
People and their family were involved in their own care planning as much as was possible.
A complaints system was in place and was used effectively.
The manager was open and honest, and worked in partnership with outside agencies to improve people’s support when required
The service had a registered manager in place, and staff felt well supported by them.
Rating at last inspection: GOOD published November 2016.
Why we inspected: This was a planned comprehensive inspection based on the previous rating.
Enforcement Action we told provider to take (refer to end of full report)
Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our inspection programme. If any concerning information is received, we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
The provider was also the registered manager. 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.
People and their relatives told us they felt safe using the service. Staff were trained to safeguard people from abuse and knew the safeguarding policy and procedures. Risks related to people's care were identified and plans put in place to minimise such risks. People received their medicines as planned but the provider's medicine policy and procedure did not reflect staff practice.
The registered manager and care workers understood the principles of the Mental Capacity Act 2005 (MCA), and supported people in line with these principles.
People were supported by care workers they were familiar with, who arrived on time and stayed the agreed length of time. There were enough suitably trained staff to deliver effective care to people. People told us staff were kind and caring and had the right skills and experience to provide the care and support they required.
Care and support plans contained relevant information for staff to help them provide the personalised care people required.
People were able to share their views and opinions about the quality of the service they received. People knew how to complain and information about making a complaint was available. Staff were confident they could raise any concerns or issues with the manager, knowing they would be listened to and acted on.
The registered manager was dedicated to providing quality care to people. Staff and people who used the service found them open, approachable, and responsive.