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Bhakti Shyama Care Centre, London.

Bhakti Shyama Care Centre in London is a Nursing home specialising in the provision of services relating to accommodation for persons who require nursing or personal care, caring for adults over 65 yrs, caring for adults under 65 yrs, dementia, mental health conditions, physical disabilities and treatment of disease, disorder or injury. The last inspection date here was 19th July 2019

Bhakti Shyama Care Centre is managed by Abbey Care Centre Limited.

Contact Details:

    Address:
      Bhakti Shyama Care Centre
      1 Balham New Road
      London
      SW12 9PH
      United Kingdom
    Telephone:
      02087721499

Ratings:

For a guide to the ratings, click here.

Safe: Requires Improvement
Effective: Good
Caring: Good
Responsive: Good
Well-Led: Good
Overall: Good

Further Details:

Important Dates:

    Last Inspection 2019-07-19
    Last Published 2016-12-13

Local Authority:

    Wandsworth

Link to this page:

    HTML   BBCode

Inspection Reports:

Click the title bar on any of the report introductions below to read the full entry. If there is a PDF icon, click it to download the full report.

6th October 2016 - During a routine inspection pdf icon

We carried out an unannounced comprehensive inspection of this service on 21 and 24 April 2015. Some breaches of legal requirements were found. After the inspection, the provider wrote to us to say what they would do to meet the legal requirements in relation to safeguarding, staffing, medicines, premises and equipment, consent and person-centred care.

We undertook this comprehensive inspection to check that they had followed their plan and to confirm that they now met the legal requirements in relation to the breaches found.

There was a registered manager at 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.

Bhakti Shyama Care Centre is a care home with nursing for up to 22 people, specifically designed to meet the needs of elderly people from the Asian Community. There were 20 people living at the service at the time of our inspection.

At our previous inspection we found that there were not always enough staff at the service to meet people’s needs, the provider did not follow safeguarding procedures, infection control practices were not always adhered to, covert medicines were not administered in line with accepted guidelines, the provider was not adhering to the principles of the Mental Capacity Act 2005 and care plans did not always reflect people’s current needs.

At this inspection, we found that improvements had been made in all of these areas.

The Care Quality Commission had received statutory notifications from the provider where allegations had been made and the local authority had been made aware of these concerns.

People using the service and their relatives did not raise any concerns about staffing levels within the home. The provider was using a formal tool to calculate staffing levels based on people’s dependency needs.

The concerns that we found at the previous inspection regarding overflowing bins and some rooms not being maintained to a good standard had been addressed.

Although no one was receiving their medicines covertly at the time of the inspection, the provider had introduced new records which were used to record when people were to be administered medicines covertly. We saw examples where someone needed to be given their medicines covertly and lacked the capacity to make a decision about this, best interests meetings had taken place.

The provider had introduced a mental capacity assessment form and care records included assessments of people's capacity to make decisions. Records for people assessed as not having capacity to make certain decisions about their care and support included best interests meetings. Applications had been made to the local authority when people were subject to restrictions to their freedom.

Care plans were clearly laid out and reviewed regularly. Where recommendations had been made, we found that staff followed these and maintained accurate records.

People told us they felt safe living at the home and we found that where concerns had been raised, the provider had investigated and acted upon recommendations made.

People we spoke with said that staff treated them well and were caring. They told us their healthcare needs were met by staff. Staff demonstrated a caring attitude towards people, during mealtimes and when assisting them around the home.

Care workers told us they were happy with the quality of the training they received. An accurate training matrix was maintained which allowed the provider to plan and book training that was expiring. Care workers told us they felt supported and the registered manager was approachable.

The provider carried out regular audits on medicines, wound care and infection control. A quality assurance manager visited the home regu

16th May 2014 - During a routine inspection pdf icon

We inspected the home to answer our five questions; is the service caring, responsive, safe, effective and well led? Below is a summary of what we found. The summary is based on our observations during the inspection, speaking with people using the service, their relatives, the staff supporting them and from looking at records.

Is the service safe?

The provider conducted regular audits to ensure the safety of the premises and the equipment used. Staff had all had training in moving and handling. There were appropriate checks completed on all staff before they were employed. All staff received a comprehensive induction before they commenced work with people who used the service.

Is the service caring?

People were supported by professional and attentive staff. We saw that care workers showed patience and gave encouragement when supporting people. A relative said, "I come here nearly every day, the staff are great". People's preferences and interests had been recorded and care and support had been provided in accordance with people's wishes.

Is the service effective?

People's health and care needs were assessed with them or their relatives, and they were involved where possible in writing their plans of care. Visitors confirmed that they were made welcome, able to see people in private if they wished and that visiting times were flexible.

Is the service responsive?

People enjoyed a range of activities both in and outside the home. The home encouraged activities and we saw many activities happening during the inspection, both collectively and on a one to one basis with individuals.

Is the service well led?

The provider had systems in place which ensured the service was responsive to change. There was evidence the service was modified when appropriate. Staff we spoke with were complimentary when asked about management.

5th June 2013 - During a routine inspection pdf icon

When we arrived at the home, the majority of people were in the lounge enjoying a game of catch ball, people were talking and the atmosphere was lively and friendly. After lunch we saw that some people were drawing, another had a jig saw and a game of Ludo was available, we saw from peoples care plans that Ludo was a popular past time.

The majority of people who use the service speak Gujarati or Hindi and staff spoke one of those languages as well as English. We spoke to family members and when needed they interpreted for us. Several people and their families we spoke with told us, “This is home from home” or “Home to home”. Staff speaking their own language and catering for their cultural needs, especially diet was a priority for everyone we spoke with. We observed that visitors to the home greeted each person in turn and took time to speak to them.

10th May 2012 - During a routine inspection pdf icon

Poeple told us they enjoyed living in the home and said that they were looked after well by staff. The Centre was registered in November 2011 and although they are registered to hold 22 people there are currently two people living in it.

1st January 1970 - During a routine inspection pdf icon

This inspection took place on 21 and 24 April 2015 and was unannounced. At the last inspection on 16 May 2014 we found the service was meeting the regulations we looked at.

The registered manager had left the service in July 2014, however, an application to cancel their registration with the Care Quality Commission (CQC) had still not been submitted at the time of our inspection. The clinical lead for the service had submitted an application to register with the CQC as the registered manager and was awaiting the outcome of this at the time of our inspection. A registered manager is a person who has registered with the 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.

Bhakti Shyama Care Centre is a care home with nursing, specifically designed to meet the needs of older people from the Asian Community. The majority of the people living there are Gujarati speaking. This is reflected in the staff team at the home, who are all Asian and are able to speak Gujarati. It can cater for up to 22 people, at the time of our inspection there were 19 people using the service. It is based in Balham, and is located next to The Radha Krishna Temple Shyama Ashram temple.

The home is arranged over four floors and there is a lift available at the home. There is a kitchen, laundry room and staff room located on the lower ground floor. Bedrooms are arranged on the ground, first and second floor. The main lounge is on the ground floor which leads out onto a courtyard. There are smaller lounges on the first and second floors. All bedrooms have an ensuite bathroom.

Although people told us that they felt safe and that staff treated them well, we found that the provider did not follow safeguarding procedures in terms of notifying the local authority of any concerns relating to potential abuse.

We observed staff during the medicines round and saw that people were supported to take their medicines safely, however we found that where people were given their medicines covertly, there were no clear guidelines about the method of administration and how the medicines were to be disguised.

We found that where people did not have the capacity to consent to certain decisions related to their care and treatment, the provider was not following the requirements of the Mental Capacity Act 2005 (MCA). Where people may have been restricted of their liberty, consideration had not been given as to how this may impact on people’s lives and applications to lawfully impose restrictions on people in their best interests were not always submitted in a timely manner.

We observed staff speaking to people in a friendly way and speaking to them in a culturally appropriate manner.

Staff attended training that was relevant to the needs of people and were regularly supervised. Staffing levels were stretched at certain times of the day and we saw some instances where staff did not always have enough opportunity to engage with people and attend to their individual needs.

People spent a lot of time sitting in the lounge or in their bedrooms and there was a lack of meaningful activities for people to engage in that met their individual preferences.

Care plans were in place and updated at regular intervals. However, there were gaps in these records that meant staff did not always have the information they required to meet people’s individual needs effectively. For example, there was a lack of guidance about how to support people’s emotional wellbeing.

The manager of the service had applied to be formally registered with the CQC at the time of our inspection. She had identified areas of improvement and staff that we spoke with felt that she was a good appointment.

The service monitored the quality of service by conducting health and safety checks, audits and feedback surveys from people using the service, relatives and visitors. A quality manager also carried out monitoring visits.

During this inspection we found that the provider was not meeting the requirements of the regulations in relation to safeguarding people, adequate staffing levels, management of medicines, some aspects of hygiene, control and restraint and care planning. You can see what action we told the provider to take at the back of the full version of the report. We also made a recommendation in relation to caring for people living with the experience of dementia.

 

 

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