Care Home: The Peele

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What the care home does well Residents care and support needs were being appropriately met by staff who had received appropriate training and supervision. The home has identified areas that needed to improve and have implemented an action plan to improve the quality of the service they provide to residents. What the care home could do better: One requirement has been made as a result of this inspection. Action must be taken to meet requirements as they are made under the Care Standards Act 2000. Random inspection report Care homes for older people Name: Address: The Peele Walney Road Benchill Wythenshawe Manchester M22 9TP two star good service The quality rating for this care home is: The rating was made on: 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. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Michael Murphy Date: 2 6 0 1 2 0 1 0 Information about the care home Name of care home: Address: The Peele Walney Road Benchill Wythenshawe Manchester M22 9TP 01614908057 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Inspirit Care Limited care home 108 Number of places (if applicable): Under 65 Over 65 0 72 dementia old age, not falling within any other category Conditions of registration: 36 0 The maximum number of service users who can be accommodated is: 108. The registered person may provide the following category of service only: Care home with nursing - Code N. To service users of the following gender: Either. Whose primary care needs on admission the home are within the following categories: Old age, not falling within any other category - Code OP (maximum number of places: 72). Dementia - Code DE (maximum number of places: 36). Date of last inspection Brief description of the care home The Peele is a purpose built care home providing personal care for a maximum of one hundred and eight older people. The home was registered on 8th February 2006. Although this is a large home, the emphasis is on providing group living. The home is Care Homes for Older People Page 2 of 9 Brief description of the care home divided into three wings on three levels. Each level accommodates three units, making a total of nine units, each of which provides accommodation for between 11 and 13 residents. Each unit has an individual shared living and activity space. All bedrooms lead off from the communal area. Units on the ground floor benefit from direct access into small cottage gardens, whilst the first and second floors lead out onto balcony areas. The ground floor has a large foyer area, which includes a reception area, and a loungesitting area with comfortable seating. The kitchens for the whole building are accommodated on the ground floor. The first and second floors provide additional facilities. This includes a library, which overlooks the front gardens and provides large windows which allow light into the building. Furnishing and fittings are of a high standard, and this room provides a pleasant multifunctional area for residents and their families to use. There is also a large social room, which is used for staff training and there are plans to fit it out as a cinema. The home is situated in the Wythenshawe area of Manchester, within easy reach of shops and community amenities. There are secure gardens around the building, providing pleasant outdoor facilities and safe walkways for residents to enjoy in the warmer months. Beyond the garden areas there is parking for a large number of cars. The fees set for 96 of the beds in the home are between GBP38444 to GBP525.00; the Primary Care Trust funds the remaining 12 beds. Additional charges are made for hairdressing, newspapers, visitors meals and refreshments, and for telephone installations. Care Homes for Older People Page 3 of 9 What we found: We undertook this random inspection following concerns being raised by Manchester Social Services about how effectively service users were being supported at the home. Specifically the issues raised concerned the residential units of the home. Therefore the contents of this report do not apply to the intermediate care unit at the home. We are aware that you have implemented an action plan to address the issues raised and continue to communicate with Manchester Social Services how this plan is progressing. We looked at how residents health and personal care needs were being met, how residents were kept safe at the home, how the home was being staffed, the training arrangements for staff and how the home was being managed. The way residents care records are organised has been reviewed and modified. It was evident from the individual care records looked at that care plans had been rewritten. Care plans described the action that staff needed to take to ensure the health, personal and social care needs of residents could be met. The care records looked at also contained risk assessments that identified areas where action needed to be taken to maintain residents safety, for example in respect of the risk of pressure sores, moving and handling needs and nutritional needs including weight monitoring. However we note that, whilst care records have been reorganised and care plans, risk assessments rewritten, these were not being formally evaluated regularly. The need for this to be addressed was discussed on the day of inspection with the home manager and her deputy. Residents were registered with a local GP. Care records looked at reflected that residents were able to access their GP and other specialist health care services where necessary. This included access to chiropodists, opticians and district nurses. The arrangements for managing residents medicines were looked at on one unit on this occasion Clover field unit. Residents medicines were found to be stored and managed safely and properly documented. Medication records indicated medicines were being administered as prescribed by a medical practitioner. At the time of our unannounced visit residents were suitably and appropriately dressed, appeared to be well groomed and content in their environment. Staff were seen to interact well with residents and support them appropriately, sensitively and in a timely way. In particular more dependent residents were seen to be appropriately supported with their food and drink. Residents spoken to said their privacy and dignity was respected by staff. Comments made included: The staff are very nice and they give me the help I need, all the carers are really good and treat me with respect and I am very happy here, there seem to be more staff now, which is good because you dont have to wait for help as long, they always speak to us properly and in a proper manner, they respect our age, my relative has a very good relationship with all the senior and care staff who treat my relative well and I am confident their privacy and dignity is respected, I am never made to feel embarrassed when I am being looked after. Residents were able to follow their own religious practices. Residents and relatives spoken to say there were no unreasonable restrictions on visiting at the home. Residents may receive their visitors in the privacy of their own room or quieter area of the home if preferred. Residents also said they were able to exercise Care Homes for Older People Page 4 of 9 choice and independence in their daily lives. Comments made included, I decide when I get up in the morning and when I go to bed, I choose the activities I take part in, You can stay in your own room if you want some privacy or go to the lounge, I choose the clothes I am going to wear for the day and how I wish to spend my time, the staff always try to respect my choices, I can more or less have a shower when I want one. A tour of building revealed that the home was clean throughout and there were no malodours. The home was well lit, warm, adequately ventilated and comfortably, suitably furnished. Information on how to make a complaint was prominently displayed in the home. This information detailed who to contact and how the complaint would be dealt with. A complaints record is kept by the home. Complaints appeared to have been dealt with properly. Discussion with residents and relatives indicated that the manager or senior staff are always available and that any issues raised are dealt with promptly and rarely need to become formal complaints. The home operates safeguarding and whistleblowing policies including those developed locally and operated by Manchester social services that seek to keep residents safe. Information about safeguarding people was prominently displayed in the home. Staff spoken to were aware of the importance of safeguarding and protecting residents and described their role in doing so. They confirmed they have been provided with safeguarding training since being employed at the home. Inspection of training records revealed that updated safeguarding training has been provided to over 50 of the staff at the home. The training programme identifies that the rest of the staff are to be provided with such training in the near future. In relation to the Mental Capacity Act the home manager informed us that one person living at the home had been subject to a deprivation of liberty authorisation. However at a later best Interest meeting it was agreed by all parties that this person had settled well into the home and it was removed. The general view was that staffing arrangements at the home had significantly improved in recent months and were supporting residents ensuring their needs were met. Discussion with residents and relatives revealed they were of the view sufficient staff were available to make sure residents were being properly looked after. Staff spoke to were also of the view that staffing levels were now much better. Throughout the day of inspection staff were observed to assist, support residents in a timely, unhurried and appropriate way. There were appropriate arrangements in place to ensure there were sufficient staff in respect of the management, catering, laundry and housekeeping functions of the home. The arrangements for training staff seek to ensure that residents care and support needs are being met by competent staff. Discussion with the home manager, staff and inspection of training records revealed that an organized and suitable training programme is in place in respect of all staff employed at the home. Training records were being kept for individual staff and a training plan has been developed for 2010. It is also noted that quite an intense programme of relevant training has been provided to staff in recent months. Over 50 of the care staff have obtained at least a level 2 national qualification in care. The remaining carers were undergoing this type of training or are expected to do so in the near future. A new home manager and deputy manager had been appointed shortly before this Care Homes for Older People Page 5 of 9 inspection. The home manager is a very experienced qualified nurse and also holds relevant management qualifications and is also very experienced in the management of large multi-site care homes. We discussed with the home manager the need for their registration with the Care Quality Commission. The manager was aware of issues that have been raised and the details of how the action plan is being implemented and monitored and her role in achieving the objectives of the plan. It was also evident that senior staff representing the registered provider visit the home regularly to provide management support and to audit the quality of the service being provided. What the care home does well: 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 set out on page 2. Care Homes for Older People Page 6 of 9 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, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 7 of 9 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 1 7 15 That all residents care plans 28/02/2010 and risk assessments are evaluated at least once a month to ensure that any change is recorded and prompts a review of the care plan and/or risk assessment. To ensure residents care and support needs are regularly reviewed. Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, 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 Care Homes for Older People Page 8 of 9 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got 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 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). 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