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Peace Manor Residential Care Ltd - Ceres Road Unit Plumstead Good

Reports


Inspection carried out on 17 October 2017

During a routine inspection

Peace Manor Residential Care Ltd - Ceres Road 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 four people.

At our last inspection of this service on 14 September 2015 the service was rated Good. At this inspection we found the service remained Good. The home demonstrated they continued to meet all the regulations and fundamental standards.

People told us they felt safe living at the home. There were safeguarding and whistle blowing procedures in place and staff had a clear understanding of these procedures. People using the service and staff told us there was always enough staff on duty to meet people’s care and support needs. Robust recruitment procedures were in place. Action was taken to assess any risks to people using the service. Medicines were managed appropriately and people were receiving their medicines as prescribed by health care professionals.

Staff had the knowledge and skills required to meet people needs. The registered manager and staff had a good understanding of the Mental Capacity Act 2005 and acted according to this legislation. People using the service told us they were encouraged to eat healthy meals and cook for themselves. Staff monitored people’s mental and physical health and wellbeing and where there were concerns people were referred to appropriate health professionals.

People’s needs were assessed and care files included detailed information and guidance for staff about how their needs should be met. Staff encouraged people to be as independent as possible. People 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, staff and health care professionals through surveys. They recognised the importance of regularly monitoring the quality of the service provided to people using the service. Staff said they enjoyed working at the home and they received good support from the manager.

Inspection carried out on 14 September 2015

During a routine inspection

Peace Manor Residential Care Ltd - Ceres Road 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 two people.

This inspection took place on 14 September 2015 and was unannounced. At our last inspection 28 November 2014, we found that improvements were required in relation to the recruitment of staff and providing staff with training appropriate to the needs of the people using the service.

At this inspection we found that improvements had been made. There were robust recruitment procedures in place and staff had received training appropriate to the needs of people using the service.

There was a registered manager in post at the time of our inspection. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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 from abuse. Appropriate recruitment checks took place before staff started work. There was a whistle-blowing procedure available and staff said they would use it if they needed to. People were being supported to have a healthy balanced diet. People’s medicines were managed safely; they received their medicines as prescribed by health care professionals.

Staff had received training specific to the needs of people using the service, for example, mental health awareness, promoting choice and independence and understanding the recovery path. They received regular supervision and an annual appraisal of their work performance. The manager and staff demonstrated a clear understanding of the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards.

People had been involved in planning for their care needs. Care plans and risk assessments provided clear information and guidance for staff on how to support people to meet their needs. Staff encouraged people to be as independent as possible. There were regular meetings where people were able to talk about things that were important to them and about the things they wanted to do. They were aware of the complaints procedure and were confident their complaints would be fully investigated and action taken if necessary.

The provider sought the views of people using the service, staff and health care professionals through annual surveys. They used feedback from these surveys to make improvements at the home. The manager recognised the importance of regularly monitoring the quality of the service provided to people. Staff said they enjoyed working at the home and they received good support from the manager.

Inspection carried out on 28 November 2014

During a routine inspection

This inspection took place on 28 November 2014 and was unannounced. At our previous inspection 19 December 2013, we found the provider was meeting the regulations in relation to outcomes we inspected.

Peace Manor Residential Care Ltd - Ceres 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 four 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.

We found that improvements were required in relation to the recruitment of staff and providing staff with training appropriate to the needs of the people using the service. You can see the action we have told the provider to take at the back of this report.

People using the service said they felt safe and that staff treated them well. Safeguarding adults 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.

People using the service, their care managers and appropriate healthcare professionals had been fully involved in the care planning 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.

People said staff encouraged them to be as independent as possible. There were regular meetings where people were able to talk about things that were important to them and about the things they wanted to do. They said there were plenty of opportunities to do things both in and out of the home. They said participating in these activities helped them to gain confidence and a feeling that they could do more things for themselves. They knew about the home’s complaints procedure and said they were confident their complaints would be fully investigated and action taken if necessary.

Staff said they enjoyed working at the home and they received good support from the manager. The provider took into account the views of people using the service and staff through surveys.

The provider recognised the importance of regularly monitoring the quality of the service and had carried out regular audits at the home. However these audits had not identified the shortfalls in staff training needs or issues relating to staff recruitment records.

Inspection carried out on 9 December 2013

During a routine inspection

There were a few people using the service at the time of our inspection. While we spoke with them as part of the inspection we will not report what they told us in order to respect their confidentiality. However, their feedback about the service was positive.

We found the provider gained people’s consent before delivering care and acted in accordance with people’s wishes. Care was planned and delivered to ensure people’s safety and welfare, and people were protected against the risks associated with medicines. People’s records were fit for purpose and ensured people received safe and appropriate care. There were effective recruitment and selection procedures in place so that suitable staff were employed to work for the home.

Inspection carried out on 12 December 2012 and 16 March 2013

During a routine inspection

Feedback from people using the service included ‘I’m happy with the service, we get on here’ and ‘very good – the best I have been to’. Both people spoken to said that they were treated with dignity and respect by staff and were encouraged to be independent.

We received comments from one external professional who stated that they were happy with the service being provided and said that the home ‘delivered all that we require’.

Responses from family members or carers to the provider's own quality surveys in 2012 included 'I am very happy with the care' and 'we are very satisfied with your services'.

Staff spoken to said that they received the training and support they required to do their job. We saw that each staff member had access to regular training and supervision.