Background to this inspection
Updated
25 April 2019
The inspection:
¿ We carried out our inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. Our inspection checked whether the provider was 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.
Inspection team:
¿ Our inspection was completed by one inspector.
Service and service type:
¿ House of Shan Ltd is a care home. People in care homes receive accommodation and personal care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
¿ The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection:
¿ Our inspection was unannounced.
What we did:
¿ Before the inspection, we reviewed the information we held about the service. This included notifications sent to us by the provider and other information we held on our database about the service. Statutory notifications include information about important events which the provider is required to send us by law. We used this information to plan the inspection.
¿ We spoke with one person who used the service.
¿ We spoke with the registered manager and one care worker and two health and social care professionals.
¿ We reviewed two people's care records, three staff personnel files, audits and other records about the management of the service.
¿ We requested additional evidence to be sent to us after our inspection. This was received and the information was used as part of our inspection.
Updated
25 April 2019
About the service:
¿ House of Shan Ltd provides personal care, support and accommodation for up to three people with mental health needs. At the time of the inspection, there were two people using the service.
People’s experience of using this service:
¿ People using the using the service told us they enjoyed living there and felt safe.
¿ People lived independent lives and were not restricted from leaving the service.
¿ People told us they went out and did their own shopping and to their health appointments. They told us that staff supported them to take their medicines on time and cooked nice food for them.
¿ Some staff files only contained one reference when the provider’s requirements asked for more. We raised this with the registered manager who sent us copies the required references after the inspection.
¿ There were enough staff employed to meet people’s needs. Staff were competent to carry out their duties and received training in areas that were relevant to supporting people with mental health.
¿ Risks to people were managed in a way that kept them as safe as possible.
¿ Care plans were individual to each person and considered ways in which people’s independence could be promoted. They were outcome based and included small targets for people to aim for. They were reviewed on a regular basis and care workers completed regular reports documenting people’s progression towards their goals.
¿ No formal complaints had been received from people. The provider explored any concerns through service user meetings.
¿ Feedback from people, staff and healthcare professionals was positive.
¿ Quality assurance checks were in place.
¿ The registered manager was aware of her responsibilities as a manager.
¿ The service met the characteristics for a rating of “Good” in all of the key questions we inspected. Therefore, our overall rating for the service after this inspection was “Good”.
¿ More information is in our full report.
Rating at last inspection:
¿ At our last inspection, the service was rated “Good”. Our last report was published on 22 July 2016. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns.
Why we inspected:
¿ This inspection was part of our scheduled plan of visiting services to check the safety and quality of care people received.
Follow up:
¿ We will continue to monitor the service to ensure that people receive safe, compassionate, high quality care. Further inspections will be planned for future dates a per our re-inspection plan.