Latest Inspection
This is the latest available inspection report for this service, carried out on 10th July 2009. it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for St Margarets.
Annual service review
Name of Service: St Margarets The quality rating for this care home is: The rating was made on: two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.
Has this annual service review changed our opinion of the service?
No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Lesley Richardson Date of this annual service review: 1 6 0 7 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: 22 Aldermans Drive Peterborough PE3 6AR 01733567961 F/P01733567961 Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : dementia learning disability old age, not falling within any other category Conditions of registration: Mr Riaz Mawani,Mrs Sayida Mawani Number of places (if applicable): Under 65 Over 65 0 0 0 4 1 16 The four places for service users with dementia (DE(E)) are for four named individuals The one place for LD(E) is for one named individual Have there been any changes in the ownership, management or the Yes service’s registration details in the last 12 months? If yes, what have they been: Change of registration in January 2009, so that the home can now accommodate up to 16 people with dementia. Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service St Margarets is situated in a predominantly residential area of the city of Peterborough near to Peterborough District Hospital. The home is close to local shops and transport routes. St Margarets is a three story, semi-detached property that has been adapted from a family residence for use as a residential care home for older people and one service user with learning difficulties. A stair lift serves the three floors. The home was built in approximately 1920. The home has successfully created a homely
Annual Service Review Page 2 of 6 atmosphere, an objective that is aspired for in their Statement of Purpose. Fees charged at the time of this inspection were between 320 and 420 pounds per week. CSCI reports are available at the home and one was placed on a table near the entrance. Annual Service Review Page 3 of 6 Service update since the last key inspection or annual service review:
What did we do for this annual service review? We looked at all the information that we have received, or asked for, since the last key inspection or annual service review. This included: The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. Surveys returned to us by people using the service and from other people with an interest in the service. Information we have about how the service has managed any complaints. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. Relevant information from other organisations. What other people have told us about the service. What has this told us about the service? The home sent us their annual quality assurance assessment (AQAA) when we asked for it. It was clear and gave us the information we asked for. They told us about the views of the people living at the home, how the manager finds out what they want and what they have changed recently because of what people have said. There has only been 1 complaint in the last 12 months, which was dealt with using the homes procedure. The Care Quality Commission and the Commission for Social Care Inspection before 1st April 2009 have not received any complaints about the service. We sent surveys to ten people living at the home and 5 staff members. We received 8 surveys from people living at the home, 7 from relatives or visitors and 2 surveys from staff members. Six people said they had enough information about the home before moving in and they have contracts. Seven people said there are enough staff available, they receive the care they need and they like the meals. Four people (half of those returning surveys) said that there are only sometimes activities available that they can take part in. Everyone said the home is clean and fresh, they can speak to someone informally if theyre not happy with something and most people know how to make a complaint. One person said, its a homely place and another person said, all staff very helpful and pleasant. However, there were lots of comments in the section about what the home could do better, where people said they would like to go out more for walks, to parks, for a meal or to the theatre. One persons relative also said, I think there could be more variety in things to do. And it would be nice if they were taken out occasionally. All the relatives and visitors we received surveys from were happy with the care the Annual Service Review Page 4 of 6 home provides. There were no negative comments at all, but a lot of positive ones. Some of these are, friendly and homely atmosphere which my mother is happy with, provides a quality service to meet the needs of the individual. Good interaction with residents. Good attentive care in a warm, friendly environment, they provide a very kind and caring service. My cousin has told me he is very happy there and Mum always looks clean and tidy, her care plan is thorough and my sister and I are very happy with the service she gets. Both staff members gave us mostly positive comments about the home and how it works. One staff member did say though, that there are only sometimes enough staff to meet peoples needs. They made these comments, the home maintains a good atmosphere and vibe, and there is a brilliant relationship between the manager and all clients as well as staff. The home is only small so is a very homely feel and in the section about what the home could do better said, more moving and handling equipment. We carried out a random inspection in January 2009 after we received concerns about the environment at the home from another inspector. When we visited we found that all the areas that had been identified had either been repaired or replaced. However, we also found that not all medications are stored properly and there were other areas around the home that were not safe for people or were a health and safety hazard. We made one requirement and one recommendation at that inspection. Concerns about staffing levels were found during a registration inspection and we will look at this before the next key inspection to make sure there are enough staff to care for people with dementia. The home continues to let us know about things that have happened since our last key inspection and they have shown that they have managed issues well. They work with us and have shown us that their service continues to provide good outcomes for the people who use it. What are we going to do as a result of this annual service review? We are not going to change our inspection plan, and will do a key inspection by 10th July 2010. However we can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using the service. Annual Service Review Page 5 of 6 Reader Information
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