CQC report explained · a residential care home
What the CQC found at Ceres Road Unit Plumstead
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found safeguarding, recruitment, staffing, risk management, infection control and medicine arrangements were safe. Individual emergency evacuation plans were in place.
- Effective?
- Good
- People's needs were assessed and reviewed, and staff had relevant training and supervision. The home worked with health and social care professionals and supported people with healthy food and healthcare.
- Caring?
- Good
- People said staff treated them well. People were involved in their care plans, and staff were described as respecting privacy, dignity and independence.
- Responsive?
- Good
- Care plans described people's needs, preferences and how staff should support them. People were supported with activities such as cooking, walks, library visits, college and local community activities.
- Well-led?
- Good
- The home had a registered manager, an out-of-hours on-call system and regular quality checks. People, staff and outside professionals gave positive feedback about the home.
What inspectors found, October 2023
Rated Good; inspectors found safe, kind and personalised support, with all five areas rated Good.
One inspector visited on 6 September 2023. They spoke with two people living in the home, two care staff and the registered manager. They reviewed care and medicine records, staff files, training records, audits and other management documents.
Inspectors found safeguarding procedures, suitable staffing and safe medicine systems. People's risks were assessed and reviewed, including risks linked to mental health, self-neglect and medicines. Staff received training and supervision, and people were supported with healthcare, food, activities and making their own decisions.
People said staff treated them well and respected their privacy. The home involved people in care planning, worked with health and social care professionals, and had systems to respond to complaints and monitor quality. The overall rating was Good, unchanged from the previous inspection published in November 2017.
Safe medicines
Inspectors found that medicines were given as prescribed, stored securely and checked regularly. Medicine records had no gaps.
“MAR records had been completed in full and there were no gaps in recording.” from the report
Personalised risk support
Risks linked to each person's mental health and other needs were assessed and reviewed. Crisis plans told staff what to do to keep people safe.
“Risk assessments included crises action plans with information for staff about the actions to take to make sure people were cared for and kept safe.” from the report
Involvement in care
People helped plan their care and signed their care plans. Staff discussed care and progress with the people they supported.
“Care records confirmed that people had been fully involved in planning for their care needs.” from the report
Links with professionals
The home worked with health and social care professionals and recorded appointments, outcomes and recommendations.
“The service continues to work jointly with our clients and in direct consultation with the clients' family and our team to ensure that the goals set out in their respective care plans are achieved.” from the report
Activities and independence
People were supported to take part in activities that mattered to them, including cooking, walks, library visits, college and community activities.
“We saw a log of people's individual daily activities, this included in house cooking and domestic tasks, going for walks around the local area, library visits, and visiting family members.” from the report
Inspectors raised no specific concerns in this report.
- 01How often will my relative's mental health risks and crisis action plan be reviewed?
- 02What support is available if my relative refuses or struggles to take their medicines?
- 03How will you involve our family and health professionals in reviewing the care plan?
- 04What activities and community opportunities could my relative take part in?
- 05How would you support my relative if their healthcare or end-of-life needs changed?
This inspection covered the overall quality of the care home, including the premises and care provided, and rated all five key questions. This explanation was written from the published report of 4 October 2023 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, November 2017
Peace Manor Residential Care Ltd - Ceres Road Unit Plumstead was rated Good; inspectors found safe, caring and well-managed support, with minor recording and feedback limitations.
The inspection was unannounced and took place on 17 October 2017. One inspector observed care, spoke with two people, one staff member and the registered manager, and checked care, staff and management records.
The home supported four people with mental health needs. People said they felt safe and were treated with kindness and respect. Inspectors found enough staff, suitable recruitment checks, appropriate medicines management, detailed care plans and support for people's health and independence.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. The home was still rated Good, as it had been at the previous inspection on 14 September 2015.
People felt safe
People said they felt safe, and staff understood safeguarding and whistleblowing procedures. Inspectors also found enough staff to meet people's needs.
“People told us they continued to feel safe.” from the report
Kind and respectful care
People spoke positively about staff and said they were treated with dignity. Inspectors observed respectful interactions and staff asking permission before entering rooms.
“They are nice to me; they treat me with dignity and respect.” from the report
Support for independence
People were encouraged to shop, cook, make choices, follow their interests and build links in the community. The home's aim was to help people live more independently.
“The staff are very good at encouraging me to do things for myself.” from the report
Detailed, reviewed care plans
Care files gave staff guidance about people's physical and mental health needs, including what to do during a crisis. Plans were reviewed monthly.
“The care files included detailed information and guidance for staff about how people's needs should be met.” from the report
Regular quality checks
The provider carried out audits covering safety, medicines, care files, complaints, incidents and other areas. It also carried out unannounced internal visits.
“The provider recognised the importance of regularly monitoring the quality of the service.” from the report
Some recording gaps
minorThe report says medicines records were completed in full but also refers to gaps in recording. Families should ask how records are checked and corrected.
“MAR records had been completed in full and there were gaps in recording.” from the report
Limited survey response
minorThe 2017 satisfaction survey had only one response from a person using the service. The provider said it would continue seeking people's views.
“Only one person using the service had completed the survey and said they would recommend the service to others.” from the report
- 01How do you check that medicines administration records have no gaps?
- 02How do you gather the views of all people living in the home, not just through surveys?
- 03How would you support my relative to cook, shop and build independence?
- 04How often would my relative's care plan and risk assessments be reviewed?
- 05What support would be available if my relative became unwell or needed help from health professionals?
This was an unannounced inspection covering all five CQC areas, based on observations, discussions and checks of care, staff and management records. This explanation was written from the published report of 25 November 2017 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Ceres Road Unit Plumstead
4 rated inspections over 9 years: the service has improved, from Requires improvement to Good.
- October 2023Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2015Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2015Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- January 2014
Report published without a new overall rating.
- April 2013
Report published without a new overall rating.
- February 2012
Registered with the Care Quality Commission on 17 February 2012.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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