We carried out a review of the data available to us about House of Shan Ltd 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 House of Shan Ltd, you can give feedback on this 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.
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, two people were using the service and one person had moved on a week before our inspection.
The service has a registered manager. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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 were safe at the service. People’s needs were assessed and support plans put in place to promote their safety and ensure they received the support they required. Staff managed risks to people’s health and safety appropriately and had up to date risk assessments. Staff reviewed people’s health needs regularly and made changes to support plans when their needs changed. Medicines were stored and administered safely to people as prescribed.
Staff knew how to protect people from abuse and the actions they would take to keep them safe. There were enough staff on duty to meet people’s individual needs as required and to take people out as needed. The service had an effective recruitment system and staff were safely recruited.
People were supported by staff who had regular training, supervision and an annual appraisal. Staff had the appropriate knowledge and skills to support people with complex mental health needs. Staff felt well supported by the registered manager in their role. The service effectively worked in partnership with other healthcare professionals to learn about, develop and implement best practice to improve people’s wellbeing. People received the support they needed to attend healthcare appointments and had their needs met.
Staff knew people well and had established positive relationships with them. Staff treated people with respect and upheld their right to privacy and dignity. People told us staff were kind and caring and showed an understanding of their health care needs. Staff supported people to make decisions about how they wished to spend their time and respected their choices. The service supported people to live as independently as possible.
People were supported to participate in menu planning and enjoyed the meals prepared at the service and chose what they liked to eat. Support plans reflected people’s needs and were developed by involving people and their relatives. Staff had sufficient guidance to promote people’s wellbeing and delivered their care as planned. The registered manager sought people’s views about the service and acted on their feedback. People knew how to make a complaint and felt confident their concerns would be taken seriously.
People and staff said the registered manager was easily available and ensured the service operated effectively. The registered manager undertook checks and audits on the quality of the service and made improvements when necessary.
The provider ensured people signed a consent form to show that they understood and agreed to care and support they were provided with.
Care and support needs were assessed and a plan of care was developed from this. When care and support needs changed a review was completed with the person and relevant health and social care professionals.
There was a safeguarding policy in place. Staff were able to describe signs of abuse and the procedure used if abuse was suspected. People had access to the local safeguarding team's contact details which were displayed on a notice board.
The service was clean and well decorated. People had access to bathrooms; kitchen and each person had their individual bedroom.
People were aware of the provider's complaints policy. This information was provided to people on admission and the contact details were displayed on the noticeboard.
We reviewed records held by the service, this included care records and documents related to the running of the service. We found that their records were kept well and stored securely and staff had access to these if required.