Shooters Hill Residential Home

Updated 9 January 2019

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 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.

This inspection site visit took place on 6 November 2018 and was unannounced. The inspection team consisted of one inspector. Before the inspection we looked at the information we held about the home. This included statutory notifications that the provider had sent CQC. A notification is information about important events which the service is required to send us by law. We used information the provider sent us in the Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We also asked the local authority commissioning the service for their views of the service and used this information to help inform our inspection planning.

We spoke with two people using the service, one member of care staff and the two registered managers. We reviewed records, including the care records of the five-people using the service, and the recruitment files and training records for three staff members. We also looked at records related to the management of the service such as quality audits, accident and incident records, and policies and procedures.

Updated 9 January 2019

This unannounced inspection took place on 6 November 2018. Shooters Hill Residential Home is a family run home providing care and support for adults with mental health needs. It can accommodate up to six people. People in care homes receive accommodation and personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. At the time of the inspection the home was providing care and support to five people. At our previous inspection in June 2016 the home received a rating of good in all of the key questions.

There were two registered managers in post at the time of our inspection. 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.

At this inspection we found that improvements were required in that systems to monitor the quality and safety had not identified that fire risks assessments to minimise risk of fire had not been carried out or reviewed by an expert or a competent person.

Safeguarding adults procedures were in place to protect people from the risk of abuse. Staff confidently described the different types of abuse and knew to who contact to report their concerns. There was a whistle-blowing procedure available to staff and they said they would use it if they needed to. Risks to people were assessed and identified. Care plans and risk assessments provided clear information and guidance for staff on how to support people to meet their needs. People’s medicines were managed safely and people received their medicines as prescribed by health care professionals. There was a system to manage accidents and incidents appropriately, and learning from this was disseminated to staff. People were protected from the risk of infection. Staff confidently described what they did to prevent the risk of infection. There were enough staff deployed to meet people’s needs and the provider followed safe recruitment practices.

Staff completed an induction when they started work, as well a programme of regular training and supervision to enable them to effectively carry out their roles. People's needs were assessed before they moved into the home to ensure their needs could be met. 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. Staff asked for people’s consent before offering support. People were supported to have enough to eat and drink. They had access to a range of healthcare professionals when required to maintain good health. Staff supported people when they moved between services through effective communication, to ensure their care and support needs were well co-ordinated. The home had been adapted to meet people’s needs, this included bath and stair rails.

Staff were kind and caring. They respected people’s privacy and dignity. People were involved in making choices and decisions about their daily care and support needs. People were encouraged and supported to be independent wherever possible. People were provided with information about the service when they joined in the form of a 'service user guide' so they were aware of the services and facilities on offer.

People were involved in planning their care needs. People's diverse needs including religious beliefs were recorded in their care plans. The registered managers told us that people were supported to meet these individual needs when required. People were aware of the home’s complaints procedure and knew how to make a complaint if necessary. People’s end of life wishes were recorded in their care plans.

On the whole there was an effective system in place to monitor the quality and safety of the home. Regular resident and staff meetings were held, and feedback was sought from people about the home through annual surveys. Staff were complimentary about the registered manager. The provider worked in partnership with the local authority and other agencies to ensure people’s needs were planned and met. The registered managers were knowledgeable about their responsibilities under the Health and Social Care Act 2014. Notifications were submitted to the CQC as required. We saw that the provider was aware of the need to display the current rating of service in the home and we saw the rating was on display as required.

There was a clear philosophy of helping people to maintain their independence and achieve their goals and aspirations in life. Staff said they enjoyed working at the service and they received good support from the registered managers. The registered managers worked in partnership with other agencies to help ensure people received good quality care and support. This included the local authority and mental health team.