06 & 27 May 2015
During a routine inspection
Peverell Care Home is registered to provide accommodation and non-nursing care for up to 3 people who have a learning disability. There were three people living at the home when we visited.
This announced inspection took place on 06 and 27 May 2015. The previous inspection was undertaken on 10 April 2013 and we found that the regulations which we assessed were being met at that time.
At the time of the inspection there was no registered manager in place. A registered manager is a person who has registered with the Care Quality Commission 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.
People had not always received their medicines as prescribed and safe practices had not been followed in the administration and recording of medicines. The manager had started taking action to make improvements.
The requirements of the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards were not being followed. This meant that people were being restricted from leaving the home on their own to ensure their safety but the correct procedures were not being followed to ensure this was done in line with legal requirements.
The recruitment procedure had not always been followed to ensure that people were only employed after the necessary checks had been completed.
Staff knew what actions to take if they thought that anyone had been harmed in any way. The manager had followed the correct procedures when concerns had been reported to him. This helped to reduce the risk of harm.
There were sufficient numbers of staff available on each shift to meet people’s needs. Staff knew people well and were aware of their history, preferences and likes. People’s privacy and dignity were upheld.
Staff monitored people’s health and welfare needs and acted on issues identified. People had been referred to healthcare professionals when needed. When appropriate, relatives were informed of any health issues.
People were supported to purchase and prepare the food and drink that they chose. People were supported where necessary at mealtimes but were also encouraged to be independent as much as possible.
Where possible people or their relatives had been involved in the assessment and planning of their care. Care records were detailed and gave staff the information they required so that they were aware of how to meet people’s needs.
There was a complaints procedure in place although this was not written in a format that people living in the home would find it easy to understand. The manager was in the process of writing a more accessible procedure.
We found two breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we told the provider to take at the back of the full version of the report.