All inspections: Peace Manor Residential Care Ltd - Waverley Road Unit - Plumstead

At our last inspection of the service on 27 October 2015 the service was rated Good. At this inspection we found the service remained Good and they demonstrated they continued to meet the regulations and fundamental standards.

Peace Manor Residential Care Ltd - Waverley Road Unit Plumstead, provides care and support for up to four people with mental health needs. At the time of our inspection there were four people living at the home. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Medicines were managed, administered and stored safely. People were protected from the risk of abuse, because staff were aware of the action to take if they had any concerns. Risks to people were assessed and recorded and staff managed identified risks safely. There were systems in place to ensure people were protected from the risk of infection. Accidents and incidents were recorded and acted on appropriately. There were safe staff recruitment practices in place and appropriate numbers of staff were available to meet people’s needs.

There were processes in place to ensure staff were inducted into the service appropriately. Staff received training, supervision and appraisals that enabled them to fulfil their roles effectively. Staff were aware of the importance of seeking consent from people in line with the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards. This provides protection for people who do not have capacity to make decisions for themselves. People were supported to meet their nutritional needs and preferences and people had access to health and social care professionals when required.

People told us staff respected their privacy and independence. People were involved in day to day decisions about their care. People were supported to maintain relationships with people that mattered to them. People were supported to follow their interests and hobbies. People’s needs were reviewed and monitored on a regular basis. People were provided with information on how to make a complaint. The service worked with health and social care professionals to ensure people’s needs were met. There were systems in place to monitor the quality of the service provided. People’s views about the service were sought and considered through meetings and satisfaction surveys.

This inspection took place on 27 October 2015 and it was unannounced. At our previous inspection on 28 November 2014, we found the provider was not meeting regulations in relation to staff recruitment and training and had not notified the Care Quality Commission (CQC) of incidents that had occurred as part of their statutory notifications. At this inspection we found that improvements had been made. There were robust recruitment protocols in place, staff had completed various training courses to meet the needs of people using the service and the provider had notified CQC of all accidents and incidents that had occurred.

Peace Manor Residential Care Ltd - Waverley Road Unit, Plumstead provides care and support for up to four people with mental health needs. At the time of our inspection, four people were living at the home. There was a registered manager in post. 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.

People said they were happy at the home and they felt safe living there. We found the provider had safeguarding policy and procedures in place to ensure people using the service were protected from abuse. Relevant risk assessments and action plans were in place to ensure people received appropriate care and support. People were supported to take their medicines as part of their treatment plans. People’s needs were assessed and sufficient staff were in place to ensure their needs were met.

Support was in place for staff in the form of induction, training, supervision and annual appraisal to ensure staff had appropriate skills to perform the job which they were employed to undertake. Both staff and management team demonstrated a clear understanding of the Mental Capacity Act and Deprivation of Liberty Safeguards. People had access to relevant healthcare professionals when required. People were supported to have sufficient food and drink for their wellbeing. People were engaged in various activities of their choice to ensure they were stimulated throughout the day.

Each person using the service had a care and support plan in place and the care plans we looked at were reviewed regularly to meet the needs of each individual. People’s privacy and dignity was respected and their independence promoted as part of their recovery plans. We found that people were supported to socialise and maintain relations. Staff understood people's needs with regards to their race, religion and sexual orientation and supported them in a caring way.

The provider had a complaints policy in place and people we spoke with knew how to make a complaint. The provider had systems in place to monitor the quality of the service and this included surveys, audits and various meetings. Where improvements were identified, there were action plans in place to improve the service delivery. All staff we spoke with said they were happy working at the home.

This inspection took place on 25 November 2014 and was unannounced. This is the first inspection for the service, since its registration with Care Quality Commission in December 2013.

Peace Manor Residential Care Ltd - Waverley Road Unit, Plumstead provides care and support for people with mental health needs. It can accommodate up to four people. At the time of the inspection the home was providing care and support to three people. There was a registered manager in place. 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.

People using the service said they felt safe and that staff treated them well. Safeguarding adult’s procedures were robust and staff understood how to safeguard the people they supported. There was a whistle-blowing procedure available and staff said they would use it if they needed to. However staff recruitment procedures were not robust.

People using the service, their care managers and appropriate healthcare professionals had been involved in the care planning and review process. People said staff helped them with their medicines and reminded them when they needed to attend health care appointments. Risks to people using the service were assessed and care plans and risk assessments provided clear information and guidance to staff. However, some of the staff had not completed mandatory training in relation to their roles and responsibilities.

People said staff encouraged them to be as independent as possible. There were regular key worker meetings where they were able to talk about things that were important to them and about the things they wanted to do. Care records showed in what activities people had participated which included shopping, cooking, laundry, meeting family and friends. They knew about the home’s complaints procedure and said they were confident their complaints would be fully investigated and action taken if necessary.

The provider took into account the views of people using the service through surveys and residents meetings. They recognised the importance of regularly monitoring the quality of the service provided to people using the service. However, not all audits identified issues. Although the health and safety audit of 8 November had not identified any issues we found a trip hazard in respect of flooring in the edges which needed repair. Staff said they enjoyed working at the home and they received good support from the manager.

We found a number of breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010, and one of the Care Quality Commission (Registration) Regulations 2009. You can see what action we told the provider to take at the back of the full version of this report.

Archived: Peace Manor Residential Care Ltd - Waverley Road Unit - Plumstead

All Inspections

24 January 2018

During a routine inspection

27 October 2015

During a routine inspection

28 November 2014

During a routine inspection