• Care Home
  • Care home

Archived: Peter Shore Court

Beaumont Square, London, E1 4NA (020) 7790 2660

Provided and run by:
Excelcare Management Limited

Important: The provider of this service changed. See new profile

All Inspections

11/04/2014

During a routine inspection

Peter Shore House is situated on a garden square near to Stepney Green tube station. It provides care home accommodation (without nursing) for up to 41 people, the majority of whom live with dementia. Most people who use the service come from the local area and represent its diversity. The premises are spacious, with plenty of room to meet people’s mobility needs and a choice of lounges.

We found that people who used the service were treated as individuals and staff members were very caring.  The three relatives we spoke with praised the care provided. There was a calm and relaxed atmosphere on the day of our inspection and we observed that the majority of people were content, with staff seeking to engage them in the life of the home or daily self-care tasks whenever possible. The provider had worked hard to expand the range of activities on offer; we saw an excellent example of a group activity run by an external organisation which managed to engage a wide range of people. We saw that the provider had plans to continue to deliver a good variety of activities.

In most areas we saw evidence of good reporting and recording by staff and monitoring by managers, but a less developed process for analysis and feedback to the staff team. This meant that opportunities for learning from past events were missed.

The provider carried out regular audits to monitor the standard of care provided. There were systems in place to ensure medication was safely administered, although some aspects of recording could be improved. Food and fluid intake monitoring needed to be more consistent.

We judged that, although some staff needed more help to embed the required skills and knowledge about the Mental Capacity Act into their day to day practice,  the provider was meeting the basic requirements of the Deprivation of Liberty Safeguards. People’s human rights in this area were, therefore, recognised, respected and promoted.

18 November 2013

During a routine inspection

The inspection team was led by a Compliance Inspector who was accompanied by a second Compliance Inspector and an expert-by-experience. We used a number of different methods to help us understand the experiences of people using the service, because many of the people using the service had complex needs. This meant not everyone was able to tell us their experiences.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a specific way of observing care to help us understand the experience of people who could not talk with us. We found from this observation that staff were engaging with people at regular intervals and communicating in a respectful and dignified way.

We looked at the care plans of four people who were using the service. Each care plan showed how the person and their relatives, where applicable, were consulted. The care plans described people's needs and wishes and described how the person preferred to be cared for. We found that care plans were reviewed at regular intervals.

The provider ensured that there was protected time for meals. We saw that enough staff were available to prompt and assist people to eat their meal when necessary.

The service had a checklist for identifying if consideration needed to be given to each person under Deprivation of Liberty Safeguards (DOLS).

All staff responsible for administering medicines were trained and we saw records confirming this.

20 May 2013

During an inspection looking at part of the service

There were two dining rooms on the first floor and one on the ground floor. We observed lunch in the home and found that staff had improved their interaction with people using the ground floor dining room. There was an improved atmosphere in the ground floor dining room and staff were engaging people in conversation whilst serving lunch. In the two first floor dining rooms we saw that staff interacted with people as they served lunch which helped make this a positive, social occasion for people.

We spoke with four people on the first floor and two on the ground floor. One person said 'it's alright here really'. We asked another person if there was enough to do and they said 'it's alright, I can't complain.' Two other people told us that they had enjoyed their lunch and felt they were not being rushed.

We found that the way in which risk assessments were carried out had improved and that the home had informed the Commission of all notifiable incidents as required.

26 February 2013

During an inspection in response to concerns

We used a number of different methods to help us understand the experiences of people using the service, because many of the people using the service had complex needs. This meant not everyone was able to tell us their experiences. One person told us about their good relationships with staff and two others made positive comments about how they were treated.

There were two dining rooms on the first floor. Staff interacted with people as they served lunch and this helped to make lunch a positive, social occasion for people. However, the provider may find it helpful to note that in the larger ground floor dining room we noted less social interaction.

Body maps had been introduced as a normal part of the care plan recording routine to encourage staff to actively look for, and report, any signs of bruising. We saw evidence of this on all of the care plans we looked at. However, we found an instance where someone was putting themselves at risk of injury. The risk to this person was increasing, although the risk assessment had not addressed what should be done or how to minimise the risk.

Apart from the problem with odour in one part of the building, the home appeared to be clean and hygienic. The home employed domestic staff.

During our visit we found that the staffing rota matched the staff who were on duty at the time. Two staff who we spoke with told us that at times they were very busy but they did not think there was insufficient staffing of the home.

20 November 2012

During a routine inspection

The inspection team was led by a Compliance Inspector and also included an expert by experience. We used a number of different methods to help us understand the experiences of people using the service, because many of the people using the service had complex needs. This meant not everyone was able to tell us their experiences.

One person told us that the food was 'very good.'

We spoke with two relatives of people using the service about raising concerns and they said they would feel happy raising any concerns about care or safety with staff. One person, who previously had concerns and criticisms of the home, said they felt their relative was kept safe in the home. The other relative said, 'the staff are nice. I could easily talk to staff'.

1 February 2011

During a routine inspection

The one person who lives at the home and spoke with us specifically did say that they 'like living here' and 'trust the staff'. The relatives who spoke with us also said that they think 'it is the best home that we saw before our relative came to live here and that 'the staff seem to care'.

Please refer to each essential outcome, below, for more detailed comments about specific aspects of the service that is provided at Peter Shore Court and the main report for other comments that people made to us.