Background to this inspection
Updated
11 October 2022
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was carried out by one inspector.
Service and service type
Petersfield is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Petersfield is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was unannounced. We visited the location on the 20 September 2022.
What we did before the inspection
We used the information we had received about the service prior to our inspection.
The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spoke with the registered manager, one team leader, one agency member of staff and one support member of staff. We reviewed a range of records including, three care plans, two staff files in relation to safe recruitment and one member of staff’s file in relation to their induction. We also reviewed a range of policies and procedures, staff meetings, incidents and accidents reports, audits and action plans and medicines administration charts.
Following the inspection we contacted eight relatives and managed to gain views from three. We emailed two health and social care professionals however no feedback was received.
Updated
11 October 2022
About the service
Petersfield is a residential care home providing accommodation and personal care to up to 36 people. At the time of our inspection there were 25 people using the service.
People’s experience of using this service and what we found
People were being supported with agency staff due to the service having a number of support worker vacancies. The registered manager confirmed staffing levels were monitored and they adapted these to people’s individual needs. Some people told us they had experienced staff speaking to them briskly although all were happy with the care and support they were receiving at the time of our inspection.
The provider had quality assurance systems in place that identified issues relating to the recording of topical creams. The nominated individual following our inspection confirmed they were in the process of implementing a new system following a pilot they had undertaken elsewhere.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
Staff felt supported by the registered manager and that it was a nice place to work. Staff had recruitment checks completed prior to working in the service. The registered manager monitored incidents and accidents and records confirmed actions taken. Referrals and discussions were held with health and social care professionals when required.
Communal areas such as bedrooms, bathrooms, corridors and the dining area were clean and tidy during our inspection. However, we found the two staircases which were predominantly used by staff to be dusty and dirty.
People’s care plans contained important information relating to their individual support needs although two people required a risk assessment. The registered manager took action to address this following our inspection.
People felt safe and staff had a good understanding of abuse and who to raise concerns with. During our inspection, we observed staff and the registered manager take time to speak to people asking them how they were.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service is Good (published 8 August 2019). The service remains rated as Good.
Why we inspected
We undertook this focussed inspection to look at the safe and well-led key questions due to concerns we had received.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.