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Care Home: St Peters Home

  • 26 St Peter`s Road Margate Kent CT9 1TH
  • Tel: 01843291363
  • Fax: 01843299789
  • Planned feature Advertise here!

St Peter`s Home occupies two semi-detached premises. There are 32 single bedrooms and 2 double bedrooms, the majority of which have en-suite facilities. A new extension has been built and registered enabling the sevrice to accommodate 10 people who have nuring needs. Accommodation is available on three floors and there is a shaft lift. All rooms have call bells. The Home is close to local facilities and is located in a residential area close to Margate town centre with all its amenities. There is a large garden to the rear that is maintained for service users use. The current fees range from 386.81 to 475.00 pounds per week. More information on the scale of charges is Over 65 038 available from the Registered Provider.

  • Latitude: 51.381000518799
    Longitude: 1.3860000371933
  • Manager: Mrs Diana Tompkins
  • Price p/w: ~
  • UK
  • Total Capacity: 38
  • Type: Care home with nursing
  • Provider: St Peters Care Home Ltd
  • Ownership: Private
  • Care Home ID: 14729
Residents Needs:
Dementia

Latest Inspection

This is the latest available inspection report for this service, carried out on 15th June 2009. CQC found this care home to be providing an Good service.

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 Peters Home.

What the care home does well The home provides a well furnished, bright and clean environment for up to 38 service users with dementia care needs. A recent extension has been built and approved enabling the home to provide 10 nursing beds. This aspect of the service is yet to become operational. The home benefits from a relatively stable and experienced staff team many of which have worked in the service for a number of years. Relatives and service users commented on the friendly atmosphere in the home and positive feedback was given about the staff and management of the service. Other direct feedback included positive comments about the food and the activities on offer. The home has a detailed pre-admission process and the individual plans of care are based on assessments of need. All records relating to health and safety issues were up to date and the home has a well developed quality assurance process in place. What has improved since the last inspection? A new extension has been built and registered providing additional bedrooms and communal space in order that the home can accommodate 38 people including 10 nursing beds. Other work on the general environment is on going and there are plans to redevelop other aspects of the home. The manager has now completed the registration process and has begun to introduce new systems of work. The pre-admission process has been updated and care planning methods reviewed. The home has invested in advanced distance learning training packages for staff covering dementia and palliative care. The complement of qualified nursing staff has been increased in preparation for the nursing aspect of the home becoming operational. What the care home could do better: No requirements and 4 recommendations under the Care Standards Act 2000 have been made as a result of this inspection process. The manager is recommended to complete audits of staff training and personnel records ensuring that all information is up to date and any shortfalls reasonably addressed. It was noted that, during the tour of the premises, the laundry and medication areas would benefit from being updated to include more work and storage space. It is also recommended that the home continues with the process of updating staff training in relation to adult protection and abuse awareness issues. This should include instruction about the Mental Capacity Act and the Deprivation of Liberty Safeguards. Key inspection report Care homes for older people Name: Address: St Peters Home 26 St Peter`s Road Margate Kent CT9 1TH     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home 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 full review a ‘key’ inspection. Lead inspector: Joseph Harris     Date: 1 5 0 6 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 24 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 24 Information about the care home Name of care home: Address: St Peters Home 26 St Peter`s Road Margate Kent CT9 1TH 01843291363 01843299789 stpetershomesltd@btconnect.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: St Peters Care Home Ltd care home 38 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia Additional conditions: Maximum number of nursing beds is 10. The maximum number of service users to be accommodated is 38. The registered person may provide the following category/ies of service only: Care home with nursing - (N) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Dementia (DE). Date of last inspection Brief description of the care home St Peters Home occupies two semi-detached premises. There are 32 single bedrooms and 2 double bedrooms, the majority of which have en-suite facilities. A new extension has been built and registered enabling the sevrice to accommodate 10 people who have nuring needs. Accommodation is available on three floors and there is a shaft lift. All rooms have call bells. The Home is close to local facilities and is located in a residential area close to Margate town centre with all its amenities. There is a large garden to the rear that is maintained for service users use. The current fees range from 386.81 to 475.00 pounds per week. More information on the scale of charges is Care Homes for Older People Page 4 of 24 Over 65 0 38 Brief description of the care home available from the Registered Provider. Care Homes for Older People Page 5 of 24 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This key unannounced inspection process culminated with a site visit to the service on 15th June 2009. The visit commenced at 09:30 hours and lasted for approximately 7 hours. Prior to the site visit a range of documentation was reviewed including the Annual Quality Assurance Assessment (AQAA) submitted by the home. The AQAA contains up to date information about the service including areas identified for improvement and changes over the past 12 months. The past inspection reports were also examined and any information received from or about the home. During the course of the visit a tour of the premises was conducted and discussions held with service users, relatives, staff, the manager and the registered provider. A range of documents and records were examined relating to service users, staff and the day-to-day running and management of the service. Care Homes for Older People Page 6 of 24 Care Homes for Older People Page 7 of 24 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 8 of 24 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 24 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The needs of prospective service users are assessed prior to admission. Individuals are given information to make an informed choice about the home. Evidence: The home has developed both a statement of purpose and service user guide, copies of which are provided to all prospective service users and their representatives. Both documents provide up to date details about the service and facilities. There is evidence that these documents have been updated and remain under review. The home has a pre-admission assessment processes in place. This was discussed with the manager who stated that prospective residents are invited to visit the home and the manager conducts a face-to-face assessment supplementing additional information received. The individual plan for one recently admitted resident was examined and this provided evidence that the key aspects of care and support had been assessed. An initial care plan had been developed that will be expanded upon. The initial plan identified areas of need and included guidance for staff. It was Care Homes for Older People Page 10 of 24 Evidence: reported that the home does accept emergency admissions at times, and that all aspects of the assessment process are followed and completed within 72 hours of admission. The home does not currently provide intermediate care services. Care Homes for Older People Page 11 of 24 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health and personal care needs of service are met. Evidence: Three individual service user plans were examined. In all cases the plans were developed in good detail based on assessments of need. The care needs of each service user were addressed providing clear guidance to enable care staff to meet those needs. The possibility of developing the plans towards a more person-centred model was discussed with the manager. The care plans are reviewed on at least a monthly basis and there was evidence that the changing needs of one service user were accurately reflected. Another plan examined related to a recently admitted service user and an initial plan had been developed based of the pre-admission needs assessment. Healthcare needs are addressed both within the care plan and through a number of health-related assessments. Healthcare issues are monitored for each person and there is evidence of referral to appropriate professionals. All service users are registered with a local GP and it was reported that good support is received from Community Mental Healthcare Teams. The service now has been registered to provide Care Homes for Older People Page 12 of 24 Evidence: Nursing Care; there have been no service users requiring nursing care admitted to the home. The Provider stated that he intends to launch this service in the coming months. Medication systems and processes were examined. The home a small dedicated medication room with suitable secure storage. It was reported that there are plans to redevelop the storage facilities to provide more space for dressings and administration. There are policies and procedures in place relating to medication and the home maintains records of administration, receipt and disposal. Controlled drugs are stored appropriately and records kept and audited. All staff administering medications have received the required training and qualified nurses are on duty at most times. Medication is stored in an organised manner, but there are space limitations at the present time. Refer to recommendation 1. Service users were observed to be treated with respect and dignity by care staff. Staff and residents interacted in a friendly manner. One relative stated that the staff are wonderful, they have looked after my mother so well. Residents were well presented and a hairdresser visits the home on a regular basis. It was reported that service users are supported to retain their independence as much as possible. Care Homes for Older People Page 13 of 24 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users have a daily life and activities that suit their needs. Evidence: The home offers a good range of activities and residents are free to choose the pastimes they wish to participate in. Visiting entertainers attend the home regularly singing old favourites. A therapist attends to provide armchair exercises during the week. Care staff also arrange a number of activities including quizzes and sing-songs. Residents are able to help around the home and in the garden if they wish. Service users were seen interacting and engaging in different activities. There is a large, enclosed garden at the rear of the home and residents are encouraged to sit out in good weather. Visitors are welcomed into the home at all reasonable times and are made to feel welcome. One visitor stated, Im always made to feel welcome, everyone is very friendly and added, they keep me informed about my mother. There is adequate space for people to receive visitors in private should they wish. Service users finances are managed by people independent of the home and the manager showed a good understanding of capacity issues and the Mental Capacity Act. A number of service users exercised their rights to vote in the recent local elections. Care Homes for Older People Page 14 of 24 Evidence: The home provides a healthy and balanced diet with a range of choices available at each mealtime. An external catering company prepares the main meal off-site and delivers the food in appropriate storage containers. A full-time and part-time cook and kitchen assistant are also employed to prepare other meals and snacks throughout the day. A number of special diets are catered for and it was reported that cultural and religious requirements can also be met. Care Homes for Older People Page 15 of 24 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service user and relatives views are listened to and acted upon. People who use the service are protected against forms of abuse. Evidence: The home has a complaints process in place, a copy is in the Service User Guide and displayed in the home. There is a complaints record and no complaints have been received by the home. The families and service users have methods and means to air their views through surveys and meetings as well as informally. People spoken to reported that they were happy with the care and service. One Safeguarding Vulnerable Adults alert has been raised, which related to reporting of incidents. It was reported that this has now been resolved. The home has responded to the alert by reviewing the reporting procedure and providing clear guidance to staff. Policies and procedures have been developed in relation to abuse awareness, recording and reporting procedures. The majority of staff have received training covering adult protection issues and it is recommended that the home also provide instruction covering the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards. Refer to recommendation 2. Care Homes for Older People Page 16 of 24 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The premises are safe and suitable for needs of the service users. Evidence: A tour of the premises was undertaken. There is parking available at the front of the building and a large enclosed garden to the rear. The home has a passenger lift connecting all floors. An extension has been added to the home which has given a wider range of communal areas for residents to relax in. The majority of rooms are single occupancy with two remaining as double rooms for people wishing to share. Many of the bedrooms have en-suite facilities. All areas of the home were decorated and furnished to a good standard. The environment was bright, airy and free from odour. There is a large kitchen with a service hatch leading directly into the dining area and sufficient food storage. The laundry is relatively small for the needs of the home and the provider stated his intention to review this and consider refurbishment to create a more amenable space. Refer to recommendation 3. It was reported that the home meets the requirements of the Environmental Health and Fire Safety departments. Care Homes for Older People Page 17 of 24 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There is an experienced and competent staff team in sufficient numbers. Evidence: The home benefits from a relatively stable staff team. Many of the carers have worked in the home for an extended period of time. In discussion with staff members it was evident that there is pride in the home. They demonstrated a good working knowledge of roles and responsibilities in the home and key care principles. Over 50 of the staff have a National Vocational Qualification at level 2 or above. There are 4 care staff throughout the day supported by a senior carer on each shift. There is also an extended crossover period between shifts to enable a full handover process. The manager largely works during office hours and the registered provider also takes an active daily role in the home. There is a team of kitchen and domestic staff on duty at the key times of the day and a full time maintenance man. At night there are three waking night staff. The manager stated that she places a strong emphasis and the learning and development of the staff team. As a result of this 9 staff have commenced a advanced dementia distance learning course and 5 staff a similar palliative care course. The staff training matrix and certificated evidence of courses were examined. This demonstrated that the majority of staff have completed mandatory training courses, however the training matrix had not been updated. It is recommended that the manager completes a full training needs audit and ensures all staff have the required training. Refer to recommendation 3. 4 staff personnel files Care Homes for Older People Page 18 of 24 Evidence: were examined. Two for staff employed over 3 years ago, one for an overseas employee and one for a new employee. The manager stated that the recruitment process has recently been reviewed and updated, which was reflected in the information on file. All required information had been retained for the newer employees including CRB checks, references and proof of identity. However there was some missing information for the staff employed longer ago such as missing references. It is recommended that the manager completes an audit of all recruitment records and ensures reasonable efforts are made to obtain any missing information. Refer to recommendation 4. Care Homes for Older People Page 19 of 24 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is managed in the best interests of the service users. Health and safety issues are monitored. Evidence: The manager has recently completed the registration process and has attained all the required qualifications for her managerial role. She is also a Registered General Nurse having worked in the care sector for many years. She also has experience of running a catering business. Through discussion she demonstrated a good understanding of the management of the home. Staff and service users were positive in their comments about her and her management style. The home has established good quality monitoring processes which include monthly visits by an external consultant to monitor issues. The registered provider is in day-today contact with the service largely working during office hours. There was evidence that the environment is continuing to be updated and future plans for continuing work. Service users relatives and professionals are asked to complete a satisfaction survey every 6-12 months, the results of which are collated and actions arising addressed. Care Homes for Older People Page 20 of 24 Evidence: One relative said, I have never had any complaints, i think they do a wonderful job. A range of records and documentation were examined in relation to health and safety issues. Fire safety records and checks are completed and all service maintenance checks completed including lift maintenance and electrical wiring. The manager stated that the process for recording and reporting accidents and untoward incidents has recently been reviewed and up dated. The home provides a safe keeping facility for service personal possessions and finances. Records are retained of all incoming and outgoing transactions. Care Homes for Older People Page 21 of 24 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 22 of 24 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 2 3 4 18 26 29 30 To update training in Adult Protection awareness and other related topics. To review the laundry facilities and upgrade as required. To complete an audit of staff personnel files and recruitment records. To complete an audit of staff training needs and update the staff training matrix. Care Homes for Older People Page 23 of 24 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 24 of 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!

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