Background to this inspection
Updated
22 March 2019
The inspection: We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked 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.
Inspection team: The inspection was carried out by two inspectors.
Service and service type: St Peter's Home is a 'care home'. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. 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.
Notice of inspection: This inspection was unannounced.
What we did: Before the inspection we reviewed information, we held about the service including statutory notifications. Statutory notifications include information about important events which the provider is required to send us. We reviewed the provider information return (PIR) submitted to us. This is information that the provider is required to send to us, which gives us some key information about the service and tells us what the service does well and any improvements they plan to make.
During the inspection we spoke with three people and observed how staff supported another person in the home. We spoke with two care staff, the deputy manager and the registered manager.
We looked at two care plans and reviewed records relating to the management of the service. We also reviewed the commissioners report carried out by the local authority.
Updated
22 March 2019
About the service: St Peters Home provides accommodation and personal care for up to eight people with learning disabilities and mental health needs. At the time of the inspection six people were living there.
People’s experience of using this service:
The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.
People were supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice. People told us they felt safe at the service and they developed trusting relationships with staff.
People told us staff helped them be more independent and live the life they wanted. They told us the support they received met their needs and staff were always kind and caring. People were helped to find what hobbies and interest they had and staff helped them pursue these.
People told us and we saw that they were involved in activities of daily living around the house, like cleaning, setting the tables and cooking.
Staff were complimentary about the management of the home. They told us they received training and support to carry out their roles effectively.
People had their capacity to understand and take decisions affecting their lives in line with the Mental Capacity Act 2004 principles. The registered manager submitted deprivation of liberty applications where there were restrictions placed on people’s freedom in order to keep them safe.
Care plans were developed for each area people needed support, and a risk assessment assessed if there were any risks to people’s well-being and health. Measures were in place to mitigate these. However, some parts of the care plan were repetitive, care plans were printed twice which made the care plans harder to navigate.
The registered manager effectively used the provider’s quality assurance systems to monitor the quality of care provided and improve the service.
People lived in a clean environment, however the building and the grounds needed some maintenance and decoration work. The registered manager told us they had already identified this and the provider was planning to complete the work as soon as it was possible.
Rating at last inspection: Good (report published 28 April 2016)
Why we inspected: This was a planned inspection based on the rating at the last inspection. The service remained rated Good overall.
Follow up: We will continue to monitor information 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.