Petersham Centre Care Home

Updated 21 October 2017

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.

The inspection took place on 29 September 2017 by one inspector and was announced. We reviewed the information we held about the service. We also looked at the statutory notifications the registered manager had sent us. A statutory notification is information about important events which the provider is required to send us by law.

The provider completed a Provider Information Return (PIR) in May 2017. This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We used this information to formulate our inspection plan.

We spoke with five people who lived at the home, three members of care staff, an agency worker, the two deputy managers and the registered manager. We observed care and support being delivered in communal areas and observed how people were supported to eat and drink at tea time.

We looked at five people’s care records to see how their care and support was planned and delivered. Staff records were not held locally, however the registered manager was able to demonstrate the recruitment processes followed, and staff confirmed the checks which had been carried out by the provider. We reviewed audits and other documentation to reflect the checks the registered manager and provider undertook to monitor the quality and safety of the service.

Updated 21 October 2017

We inspected this service on 29 September 2017. This was an announced inspection as we wanted to ensure there were people available to tell us about the service. This inspection was completed by one inspector. At our last inspection in September 2015 we found the service to be meeting the requirements of the regulations and we rated the service as ‘Good’. At this inspection the service remains ‘Good’.

The service was registered to provide accommodation and personal care for up to 16 people with learning disabilities. The home was divided into three units. One unit for those developing skills to enable them to be independent, a unit for people who required more support and a short stay unit for people to receive respite. Some people had lived at the home for long periods whilst others accessed the home for short term respite care. At the time of our inspection, there were nine people using the service on a permanent basis and seven using the service for respite.

The service had a registered manager. 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 of the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People felt there was enough staff to support their needs and they made them feel safe. Risks relating to the environment and activities had been assessed and reviewed. If required equipment had been ordered to make the environment safe.

The provider had followed a recruitment process that ensured people were supported by staff whose suitability had been checked. Staff told us the training available to them was varied and provided them with the skills they required for their role.

People received their medicines as prescribed and there was a flexible approach when people went out or changed their daily routine. There was a varied choice of meals and people felt they could be part of the menu planning for their meals. Some people were supported to cook their own meals and other people had been engaged in making the meal for the other people using the service.

We saw some people were unable to make some decisions. In these instances people had been supported through a best interest approach. Some people were under constant supervision and for these people an application had been made to ensure this was done legally

The staff had developed positive relationships with people and embraced their activities and interests. People were respected in relation to their decisions and their environment when they received personal care. Relatives were welcome at the home and opportunities had been made to maintain relationships.

There was a complaints policy which had been followed when required. People felt able to raise any concerns and were confident they would be addressed. People’s opinions had been considered in making improvements.

The provider used a range of audits to maintain standards and consider improvements. The registered manager understood the requirements in relation to notifying us of events. We saw the rating had been displayed in the reception of the home and it was also accessible on the providers website.