Archived: Pentrich Residential Home

Pentrich Residential Home is a care home.is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. This service provides accommodation and support to a maximum of thirteen people over the age of eighteen who have a mental health condition. The service is situated in a residential area of the coastal town of Bridlington in East Yorkshire and has three floors. The property does not have a passenger lift so is only suitable for people who are able to use the stairs. At the time of our inspection there were eight people using the service.

The registered provider is required to have a registered manager in post and there was a registered manager at this service. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Staff were recruited safely and at this inspection there were sufficient staff on duty to meet people's needs. Staff had received training which allowed them to meet people's needs and received support through supervision from the registered manager.

Staff had received safeguarding adult training and were aware of types of abuse. Alerts to the local authority safeguarding team were made as appropriate.. People told us they felt safe at the service.

Accidents and Incidents were recorded and analysed by the manager and action taken where any health and safety issues were identified following an accident.

Medicines were managed safely.

The service was clean and tidy and people had personalised bedrooms. The environment had not been specifically adapted for one person with dementia but they had lived at the service so long they were familiar with their surroundings and so this had no impact.

People told us that staff were kind and caring. They had time to get to know people and treated them with respect. They worked within the principles of the Mental Capacity Act.

Care plans were detailed and person centred. They were reviewed regularly and checked by the registered manager and regional manager.

Social isolation was minimised because staff encouraged people to access the local community either by themselves or with support.

The registered manager was well supported. They followed a clear quality assurance process and further checks were carried out during visits by the provider and regional manager. This ensured the quality of the service.

Feedback was received from people who used services, relatives, [professionals and staff and used to make any improvements using the 'You said/we did' system.

This inspection took place on 23 November 2016 and was unannounced. At our last inspection of the service on 22 October 2015 the registered provider was rated as ‘requires improvement’, but was compliant with all the regulations in force at that time. There were a number of recommendations in the last report that were followed up during this inspection.

Pentrich Residential Home provides accommodation and support to a maximum of thirteen people over the age of eighteen who have a mental health condition. The service is situated in a residential area of the coastal town of Bridlington in East Yorkshire. The property has three floors. The accommodation consists of two shared bedrooms and nine single bedrooms, two of which have en-suite facilities. Bathing and toilet facilities are available on each floor of the property. There is a dining room and two lounges are located on the ground floor. The property does not have a passenger lift so is only suitable for people who are able to use the stairs. Parking is available to the front of the building, although space is limited to around three vehicles. At the time of our inspection there were eight people using the service.

The registered provider is required to have a registered manager in post and there was a registered manager at this service. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

We saw improvements had been made to the service in the last year, but there remained areas of the service that did not offer people a good quality environment. One bathroom/shower room required remedial work to the tiling and floor coverings to ensure people had safe and hygienic facilities. We have made a recommendation in the report about this.

During our inspection we found that staff were working in a variety of roles to maintain the staffing levels in the service. Whilst people’s care needs were being met this was reliant on the goodwill of the workforce. We have made a recommendation about this in the report about.

Staff had completed some basic mental health training, but more in-depth training would ensure they had the knowledge and skills to meet behaviour that challenged the staff in regard to certain people who used the service. We have made a recommendation about this in the report.

People told us that they felt safe living at the home. We found that staff had a good knowledge of how to keep people safe from harm and staff had been employed following robust recruitment and selection processes.

Medicines were administered safely by staff and the arrangements for ordering, storage, administration and recording were robust.

Where people who used the service were subject to a level of supervision and control that amounted to a deprivation of their liberty, the registered manager had completed a standard authorisation application for them and these had been reviewed by the supervisory body of the local authority. This meant there were adequate systems in place to keep people safe and protect them from unlawful control or restraint.

People were able to talk to health care professionals about their care and treatment. People told us they could see a GP when they needed to and that they received care and treatment when necessary from external health care professionals such as the Community Mental Health team and Community Psychiatric Nurses.

People had access to adequate food and drinks and we found that people were assessed for nutritional risk and were seen by the Speech and Language Therapy (SALT) team or a dietician when appropriate. People who spoke with us were satisfied with the quality of the meals.

People spoken with said staff were caring and they were happy with the care they received. They had access to community facilities and most participated in the activities provided in the service.

People knew how to make a complaint and those who spoke with us were happy with the way any issues they had raised had been dealt with. People had access to complaints forms if needed and the registered manager had investigated and responded to the complaints that had been received in the past year.

The registered manager monitored the quality of the service, supported the staff team and ensured that people who used the service were able to make suggestions and raise concerns. We saw from recent audits that the registered manager was making progress in improving the quality of the service.

We found that improvements had been made to infection control procedures. Staff had completed training on the control of infection and the home was being maintained in a clean and hygienic condition.

Improvements had also been made to the environment; the repairs that we had identified had been carried out although we noted that one carpet still needed to be replaced. There was a gas safety certificate in place and a fire safety test had been undertaken by a qualified contractor. Staff had undertaken fire safety training.

Staff had also completed other training since our previous inspection; this included health and safety, food hygiene and the control of substances hazardous to health (COSHH). Staff had continued to have supervision meetings with a manager.

Staff and resident meetings had been held and satisfaction surveys had been distributed to relatives to gain their views about the service provided. We have asked the provider to inform us about the action taken following a visit from a local authority health and safety officer.

From what people told us, what we observed and noted as part of the inspection staff cared for the people who used the service appropriately. One person said 'They look after me well' and another person told us 'They know me and what I like'. People had their medicines at the time they needed them and in a safe way.

There were effective recruitment procedures in place which ensured staff were of good character. There were suitable numbers of experienced staff. However, staff had not received appropriate training to ensure they could meet the needs of the people who used the service and look after them safely.

During our visit we noted a number of areas of concern regarding the safety and maintenance of the premises that could have caused harmed to staff and people that lived at the home. We also saw that people were not protected against the risks of infection as the appropriate standards of cleanliness and hygiene were not maintained.

The provider did not have systems in place to fully assess and monitor the quality of service that people received.

People who used the service were supported to take part in a range of activities both within the service and out in the community. One person told us 'I am waiting to go out shopping with the staff. I might have a coffee whilst in town.'

We found people were being looked after by friendly, supportive staff within a warm and homely environment. Care was risk assessed and records were up to date.

People told us that staff discussed their care and treatment with them and that they were involved in the reviews of their care. Four people told us that their interactions with staff were positive and they were treated as individuals.

People who spoke with us had a good understanding about keeping themselves safe from harm whilst in the home and out and about in the community. They told us they felt safe in the service and could talk to the staff or manager about anything.

We found little evidence of a formal quality assurance programme, however people and staff said their opinions were listened to and action was taken to address any issues raised.