Background to this inspection
Updated
4 October 2023
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
Inspection team
The inspection was carried out by 1 inspector.
Service and service type
Peace Manor Ceres Road is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Peace Manor Ceres Road is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations. At the time of our inspection there was a registered manager in post.
Notice of inspection
We gave the service 24 hours’ notice of the inspection. This was because the service is small and people are often out and we wanted to be sure there would be people at home to speak with us.
What we did before inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spoke with two people living in the service about their experience of the care provided. We also spoke with two care staff and the registered manager. We reviewed a range of records. This included four people’s care records and medication records. We looked at staff files in relation to recruitment and staff training. We also reviewed a variety of records relating to the management of the service including quality monitoring checks and audits and policies and procedures.
Updated
4 October 2023
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 service was providing care and support to 4 people.
People’s experience of using this service and what we found
There was safeguarding procedures in place and the registered manager staff had a clear understanding of these procedures. Appropriate recruitment checks had taken place before staff started work. There were enough staff to meet people’s needs. People’s medicines were managed safely. There were effective systems in place for monitoring and learning from incidents and accidents. The service had procedures in place to reduce the risk of infections.
People’s care and support needs were assessed when they moved into the home. Risks to people had been assessed to ensure staff could meet their needs safely. Staff were supported through induction, training, and regular supervision. People were supported to maintain a healthy balanced diet and they had access to health care professionals when they needed them. 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.
People had been consulted about their care and support needs. Staff understood the importance of working within the principles of the Equality Act and supported people in meeting their diverse needs. There was a complaints procedure in place and people said they were confident their complaints would be addressed.
The registered manager and staff worked in partnership with health and social care providers to plan and deliver an effective service. The provider took people using the service and staff’s views into account through surveys. There were effective systems in place to monitor the quality and safety of the service and any learning was identified and acted on. Staff enjoyed working at the home and said they received good support from the registered manager.
Rating at last inspection. The last rating for this service was Good (published 27 November 2017).
Why we inspected. This inspection was prompted by a review of the information we held about this service.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect