Archived: Pettsgrove Care Home

Updated 21 June 2016

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 12 April 2016 and was unannounced. The inspection team consisted of two inspectors.

As part of our planning we looked at the information we held about the service including information from any notifications the provider had sent us and audits. A notification is information about important events that the provider is required to send us by law. We also asked the local authority monitoring team for their views of the service.

During the inspection we looked at support plans and risk assessments of four people, six staff files, people's medicines charts and other paperwork that the service held. We also spoke with a local authority social worker and two health care professionals.

Updated 21 June 2016

This inspection took place on 12 April 2016 and was unannounced. At the last inspection on 16 July 2015 we had found that while some improvements had been made from the inspection of December 2014, there were still breaches of regulations. These were in respect of safe management of people’s finances, insufficient arrangements to deal with emergencies to reduce risks to people, not having regard to treating people with dignity and respect at all times and not operating effective systems and processes to make sure they assessed and monitored their service.

Pettsgrove Care Home is a care home that provides care, support and accommodation for up to six people with learning disabilities. At the time of our inspection there were five people living in the home.

We took enforcement action following the inspection on 16 July 2015 and imposed conditions on the provider's registration regarding concerns we found about the management of people’s finances. We also served a warning notice in respect of a breach for not operating effective systems to monitor the quality of the service.

We carried out this inspection on 12 April 2016 to check what progress had been made in respect of addressing the breaches identified at the July 2015 inspection and also carried out a comprehensive ratings inspection.

At this inspection the home was supporting five people. There was a manager but no registered manager in place. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service and has the legal responsibility for meeting the requirements of the law; as does the provider. The current director had submitted an application for registration as a registered manager by CQC..

We found considerable improvements had been made in each key question. People’s relatives felt the service was safe and that staff treated people well. The conditions we had imposed and the warning notice we had served had been complied with. There were appropriate records of people’s finances including their spending. Staff carried out daily and weekly checks of people’s finances to reduce the risk of financial abuse. Risks to people were identified and monitored.

There were sufficient staff to meet the needs of people and the service had conducted appropriate recruitment checks before staff started work.

People had been involved in the planning of their care. We also saw that their relatives were involved as appropriate. Support plans and risk assessments provided clear information and guidance for staff on how to support people. This included guidance about meeting people’s nutritional needs.

Staff received adequate training and support to carry out their roles. They asked people for their consent before they provided care and demonstrated a clear understanding of the Mental Capacity Act 2005(MCA) and the Deprivation of Liberty Safeguards (DoLS).

Staff respected people and involved them in decisions about their care. People’s independence was promoted and supported.

Staff told us there had been improvements at the home following our July 2015 inspection. Audits had been carried out to identify any improvements that were needed. Staff felt confident they were heading in the right direction. The director of the service felt the service had recruited the right staff and management team to move the service forward.