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Archived: Florence House - Peterborough

Reports


Inspection carried out on 25 July 2014

During a routine inspection

A adult social care inspector for adult social care carried out this inspection. The focus of the inspection was to answer the five key questions; is the service safe, effective, caring, responsive and well-led?

Below is a summary of what we found. The summary describes what people using the service, relatives and staff told us, what we observed and the records we looked at. If you want to see the evidence that supports our summary please read the full report.

This is a summary of what we found:

Is the service safe?

Records we looked at showed us that risk assessments were completed where a risk had been identified. Measures were described and in place to reduce or eliminate such risks. Requirements under the Mental Capacity Act 2005 were recognised by members of staff as were deprivation of liberty safeguards (DoLS). One person who was under a DoLS registration was due for this to be reviewed as their behaviours had changed.

Staff confirmed that they had completed regular training and we saw a list of dates when the staff refresher training was due to be updated. This showed that people were supported by members of staff who knew how to provide support in a safe and appropriate way

Full information was on display to provide people with enough detail to take any concerns they may have to the relevant organisation. This information included details of the type of procedures and actions that would be taken by the supporting agency. We saw the actions that had been taken when a person had verbally complained. This was fully documented to show that the provider had taken appropriate action and reached an acceptable conclusion for the person concerned.

Records showed that equipment such as hoists had been regularly serviced and fire checks had been completed on extinguishers. This supported the safety of people who lived at the service, as well as the safety of visitors and staff.

Is the service effective?

Our observations showed us that people who lived at the service were relaxed and confident when they discussed matters with members of staff. Staff took action when they saw anyone who appeared to be in need of support. People who lived at the service all had positive comments about members of staff and the care and support they received.

Records contained minutes of meetings that had been held with people who lived at Florence House. These minutes contained details of discussions and any actions that may have been needed following these meetings. There was also a signature and date that showed when a required action had been completed. This indicated that the service responded to people’s needs in an acceptable time frame.

Is the service caring?

Our observations showed us that people living in the service were treated with respect at all times. Discussions with members of staff showed us that they knew the routines that people had chosen and were aware of their care and support needs.

We saw that people were dressed cleanly and appropriately for the weather on the day of our inspection, this showed that people’s support needs had been carried out.

We saw that staff spoke with respect and in an appropriate manner when they provided support or care to people in the home. One person who lived at the service told us that staff were, “The very best there is.”

Is the service responsive?

We saw that people's individual physical needs were being met. People were gently encouraged to decide what they wanted to eat at lunch time. We observed the lunch time meal and saw this was a calm and relaxed time. Staff did not rush anyone and they allowed time for the individual to fully understand their meal choices and the options offered to them. This showed us that staff supported and involved people who lived at the service.

Is the service well led?

Staff explained that they undertook regular training and we saw a list of dates when

the staff refresher training was due to be updated. This showed that people were supported by members of staff who knew how to provide support in a safe and appropriate way.

Quality assurance systems were in place and regular quality audits were completed for all areas of the service. We saw records that clearly documented the observations that had been made when any improvements were needed. The completion dates of tasks were also recorded to show when any follow up was needed. The manager completed weekly and monthly audits that ensured the quality of the service was monitored and checked regularly to ensure this was an acceptable standard at all times.

Inspection carried out on 8 January 2014

During an inspection in response to concerns

Prior to this inspection we received some concerns around the management of medicines at Florence House - Peterborough. As a result of the concerns raised we undertook a responsive inspection on 08 January 2014.

During this inspection we found that the provider had appropriate procedures in place to manage medicines. People living at Florence House - Peterborough could be assured that they would only be administered medication which had been stored securely and at the right temperature.

Inspection carried out on 30 April 2013

During a routine inspection

We spoke with two people who used the service and two members of staff on the day of our inspection.

We found that people's privacy, dignity and independence were respected. A person who used the service who we spoke with told us that Florence House, "Involved (them) in discussions". Another person told us that their “Privacy is maintained.” This meant that people who lived in the home were treated with respect.

Staff had access to detailed care plans to ensure that they provided people with safe, appropriate, individual support and care. People we spoke with told us that the quality of care and support they received was satisfactory. One person who used the service told us that Florence House was, “Alright.” Whilst another person went on to tell us that, “Staff respect (their) wishes.”

When reviewing medication administration records (MAR) charts, we saw evidence of accurate documentation to ensure that people were protected against the misuse of medication.

There were effective staffing levels in place to ensure the safety and well-being of people who lived at the home.

There was no registered manager in post at the time of our inspection.

Inspection carried out on 6 December 2012

During a routine inspection

People who used the service had the right level of information to make a decision about their support, care and treatments. A health care professional we spoke with told us that they, "Had no concerns around consent here [at the home]." A person who we spoke with went on to tell us that, "Staff ask permission before undertaking anything [care]."

People's standard of health and welfare was maintained. Staff had access to detailed care records to ensure that they provided people with safe, appropriate, individual support and care. A person who we spoke with told us, "I am very happy here and I have everything I need."

People who used the service were protected from the risk of abuse because the provider had taken reasonable steps to identify the possibility of abuse and prevent abuse from happening.

People were protected from the risk of infection spreading as there were effective systems in place to reduce the risk.

Staff underwent training to ensure they could deliver safe and appropriate care to people who used the service.

There was an effective complaints system in place to ensure that people had no concern about raising a concern or complaint.

In this report the name of a registered manager appears who was not in post and not managing the regulatory activities at this location at the time of the inspection. Their name appears because they were still a Registered Manager on our register at the time.

Inspection carried out on 6 October 2011

During a routine inspection

People had positive views about their experiences whilst living at Florence House. They said that they were treated with respect and were well cared for during the day and at night, and they felt safe living at the home.

They liked the range of activities provided; entertainers had visited, such as musicians and there were trips out, including visits to leisure and garden centres. Furthermore, they told us that they liked their bedrooms as these were comfortable.

All of of the people with whom we spoke indicated that they felt supported by kind and caring staff. One person added that the staff were also, "Competent".

Reports under our old system of regulation (including those from before CQC was created)