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Peace Manor Residential Care Ltd - Pembroke Road Unit - Erith

Overall: Good read more about inspection ratings

15 Pembroke Road, Erith, Kent, DA8 1BN

Provided and run by:
Peace Manor Residential Care Limited

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Peace Manor Residential Care Ltd - Pembroke Road Unit - Erith on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.

This could change at any time if we receive new information. We will continue to monitor data about this service.

If you have concerns about Peace Manor Residential Care Ltd - Pembroke Road Unit - Erith, you can give feedback on this service.

24 February 2021

During an inspection looking at part of the service

About the service:

Peace Manor Residential Care Ltd – Pembroke Road Unit provides care and support for up to eight people with mental health needs. At the time of this inspection seven people were using the service.

We found the following examples of good practice.

People were supported to receive visitors safely. Visits were limited to one visitor per person and visits had to be pre-booked. Visits were held in a designated area which was disinfected after each use. Visitors were screened for any acute respiratory infections which included a COVID-19 test and temperature check.

The service took part in the COVID-19 testing scheme in line with current national guidance. Both people and some staff had received their first dose of a COVID-19 vaccine.

The service had enough personal protective equipment (PPE) in stock, including face masks, gloves, aprons and face shields. Staff told us they had access to the PPE they needed, and they washed their hands regularly to help minimise the risk of the spread of infection. People were also provided with masks when accessing the local community and were reminded to follow social distancing rules.

Staff had completed infection prevention and control training which included COVID-19 safety and the use of PPE. We observed staff using PPE appropriately and they told us they felt safe working at the service.

Appropriate procedures were in place to admit people safely. New admissions needed a negative COVID-19 test result before they moved in. Newly admitted people were also isolated for the first 14 days after admission, in line with national guidelines.

The provider had policies and procedures, risk assessments and audits in relation to the management of infection control risks and that of COVID-19.

21 November 2018

During a routine inspection

About the service: Peace Manor Residential Care Ltd – Pembroke Road Unit provides care and support for up to five people with mental health needs. At the time of this inspection five people were using the service.

The provider had recently carried out a refurbishment project at the home and had extended the number of accommodation from five to nine; they told us they were in the process of applying to CQC to vary their condition of registration. At the time of this inspection no one had been admitted to use the new facilities.

People’s experience of using this service:

• People and their relatives were complimentary about the service and said the service was well-managed.

• People received safe, effective, compassionate and good quality care.

• People received care and support that was personalised to their needs and supported their recovery.

• People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

• Staff had the knowledge and experience to support people’s needs. They were supported through induction, training and supervision to ensure they carried out their roles effectively.

• People were supported to maintain good health and access healthcare services where this was required.

• People’s privacy and dignity was respected and their independence promoted.

• Staff understood the Equality Act and supported people without discrimination.

• People were supported to participate in activities that interested them and supported their recovery.

• Feedback from people, staff and other professionals was used to improve on the service.

• The provider had an effective system in place to assess and monitor the quality of the service and had worked in partnership with key organisations to plan and deliver an effective service.

Rating at last inspection: Good (Report published on 22 June 2016)

Why we inspected: This was a planned inspection based on previous rating. We saw improvements had been made since our last inspection and the service remained good overall.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.

5 May 2016

During a routine inspection

This inspection took place on 05 May 2016 and was unannounced. At the last inspection on 16 May 2014 we found the provider was meeting all the regulations we inspected.

Peace Manor Residential Care Ltd – Pembroke Road Unit provides care and support for up to five people who have enduring mental health needs and who are receiving treatment and support within the local community. On the day of the inspection there were five people using the service.

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.

At this inspection we found medicines were administered safely although there were some improvements needed.

We have made a recommendation about the management of some medicines.

People told us they felt safe and staff understood the signs of possible abuse and how to raise a safeguarding alert if needed. Risks to people had been assessed and appropriate plans were in place to ensure identified risks were minimised. The provider had appropriate recruitment and selection processes in place to ensure staff were suitable for their roles. There were arrangements to deal with emergencies. People told us there were enough staff to meet their needs; although some improvement was needed to the accuracy of the rota.

Staff received training relevant to their roles and support through regular supervision and appraisal. Staff demonstrated an understanding of the Mental Capacity Act (2005) and Deprivation of Liberty Safeguards. People were supported and encouraged to eat and drink a suitable and healthy diet. People were supported where needed in their involvement with mental health and healthcare professionals.

People and their relatives told us staff were kind, caring and respectful towards them. They felt their privacy and dignity was respected and their independence encouraged. People told us they were involved in making decisions regarding their care and treatment. They had a care plan which was personalised and based on an assessment of all their needs. They told us these plans were reviewed regularly. People were encouraged to use the local community and to enjoy their personal interests.

People knew how to make a complaint if they wished to and there were regular residents meetings where people could express their views. People were positive about the registered manager and provider and said they were approachable. Staff were also positive about the management of the service and the support offered. There were systems to monitor the quality of the service, through audits and checks. The registered manager and provider told us they were often at the service and on call and this helped them to monitor for any issues.

16 May 2014

During a routine inspection

We considered our inspection findings to answer questions we always ask providers when we visit to inspect a service; is the service caring, responsive, safe, effective and well led.

Below is a summary of what we found. The summary is based on our observations during the inspection, speaking with people using the service, speaking with staff and from examining records. If you want to see the detailed evidence supporting our summary please read the full report.

At the time of our inspection there were five people residing at Peace Manor Residential Care Ltd ' Pembroke Road Unit Erith. We spoke with two people using the service, visiting professionals, the registered manager and a member of staff who was on duty at the time of our inspection.

Is the service caring?

People expressed their views and were involved in making decisions about their care and treatment. People who use the service were given appropriate information and understood the care and support choices available to them. Prior to admission people were provided with the organisations 'Service User Handbook' which detailed their aims and objectives when supporting people. Their main objective being to offer skilled care and support to enable people to remain independent and achieve their optimum state of health and well-being. People using the service that we spoke with told us they were very much a part of the planning of their care and had been given choices about their support and how it was delivered. One person told us 'I like living here, the staff are fantastic and I am supported to remain as independent as possible'. Another person told us 'I am able to be me'.

Is the service responsive?

We spoke with the registered manager who told us that people who use the service were referred to them by health and social care professionals, often when people were at times of crisis and were in need of support. They informed us that at point of referral, an assessment would be undertaken of people's needs and they would often work with people's health and social care professionals to develop a person centred care plan for the individual.

Is the service safe?

People we spoke with using the service told us that they felt safe within the home's environment and supported by staff. One person told us 'The staff are great, if I have any concerns or worries they help'. Care plans and records we looked at showed that people's needs or potential risks had been assessed and regularly reviewed to ensure that people continue to receive the level of support they needed to remain safe.

Is the service effective?

Staff we spoke with described how they supported people to remain independent by encouraging them to make choices and to express their wishes and preferences. For example around how they spent their time and with whom. Staff members told us they would report to their manager if a person's refusal of support posed a risk to their safety and wellbeing. It was the home's procedure to then raise any concerns with the person's mental health care professional.

Is the service well-led?

As part of our inspection we looked at how staff were routinely supported in their roles. Staff we spoke with told us that they had a 'staff coaching' session every morning when they came on duty. This was a period of time spent with other staff members to enable them to receive an update on people using the service and to provide a good consistent level of support. During this time they were also able to make contact with the local community mental health teams or other health and social care professionals if they had any concerns. This showed that staff had access to up to date information about people using the service and could obtain specialist support when required in order to meet people's needs.

The service kept clear records of all accidents, incidents and complaints and recorded details of how these had been investigated. We saw changes were made to people's support and treatment as necessary. As required by law, our records demonstrated that the service kept us informed of any reportable events.