This was an unannounced inspection which took place on 19 April 2016.
Kadimah is a residential care home situated in Ravenswood Village. The village is a community for adults with learning disabilities run by the charitable organisation, Norwood. People have access to the facilities and services provided in the village. These include a café, swimming pool and horse riding.
The home provides a service for people with learning and other disabilities. The service is registered to provide care for up to eleven people and there were nine people living there on the day of the visit. People were provided with ground or first floor accommodation, according to their physical abilities. There was an annexe where people were supported to live more independently.
There is a registered manager running the service. 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.
Everyone who lived in, worked in or visited the service were kept as safe from harm as possible. Staff were properly trained so they knew how to keep people safe from any form of abuse. The service had robust health and safety policies and procedures which staff understood and followed to keep people as safe as possible. Any risks were identified and action was taken to reduce them, as far as possible. There were high staff ratios to ensure people were looked after safely. The recruitment procedure made sure, that as far as possible, staff were safe and suitable to work with the people who live in the home. Medicines were given safely by properly trained staff.
People were helped to maintain their health and well-being. Staff responded quickly to people’s needs. They sought advice from and worked closely with health and other professionals to meet people’s needs in the best way. People’s physical and emotional needs were met to ensure people were able to enjoy their lives as much as they could.
People’s rights were understood and promoted by the staff and registered manager of the service. The service understood the relevance of the Mental Capacity Act 2005, Deprivation of Liberty Safeguards and consent issues which related to the people in their care. The Mental Capacity Act 2005 legislation provides a legal framework that sets out how to act to support people who may not have capacity to do so. People were helped to make decisions and choices so they could control their daily lives as much as possible.
A stable, caring staff team provided care to people they knew well and whose needs they fully understood. Staff were well trained, understanding and responsive to changes in people’s needs and wishes. People were treated with respect and dignity at all times. Staff understood what person centred (individualised) care meant and why it was important. They were non-discriminatory and met people’s equality and diversity needs. People were provided with a variety of activities, according to their needs, abilities and preferences.
The service was well-led by a highly thought of registered manager and supportive management team. The service had an open and positive management style which encouraged people, staff and others to express their views and opinions. The quality of the care provided was regularly monitored by the registered and other managers. Improvements had been made as a result of the quality assurance processes and listening to people, staff and others.