Peace Manor Residential Care Ltd – Pembroke Road Unit – Erith

“People were generally supported to maintain their independence and develop daily living skills. However, this was not always consistently promoted. One person told us they enjoyed cooking but was not currently supported to do this independently. Staff told us they considered there to be risks associated with the person using cooking equipment; however, there was no documented risk assessment to demonstrate how these risks had been assessed or how the person could be supported to take positive risks safely. Whilst people were encouraged to undertake other aspects of independent living, such as cleaning their rooms and completing laundry tasks, the lack of an individual assessment meant opportunities to further promote this person's independence had been missed.”

“People generally experienced choice and control over their daily lives, but opportunities to maximise this were not always considered. Snacks, fruit and other food items were stored in locked cupboards, meaning people needed to ask staff to access them. During our assessment, we observed staff responding promptly to requests for food and drinks and people told us they received these when they asked. However, the arrangements in place reduced people's ability to access food independently and did not fully promote choice and control. Leaders had not explored alternative approaches that could balance individual risks whilst enabling others to access food more freely.”

“We found the service was working within the principles of the Mental Capacity Act 2005 (MCA). Deprivation of Liberty Safeguards (DoLS) authorisations were appropriately applied for, monitored and reviewed. People were free to leave the service and access their local community as they wished.”

“People were protected from abuse and avoidable harm. Staff had received safeguarding training, understood their responsibilities and knew how to recognise and report concerns. Incidents were recorded, reviewed and monitored, and learning was shared with staff to reduce the risk of similar events occurring. Staff described opportunities to reflect on incidents through debrief discussions and learning reviews.”

“The provider maintained effective systems to manage health and safety, infection prevention and control, fire safety and medicines. The service was clean and well maintained. Medicines were managed safely, with appropriate arrangements for ordering, storage, administration and disposal. Staff responsible for administering medicines were trained and assessed as competent. We found medicine stocks matched records and there were clear protocols for medicines prescribed on an 'as required' basis.”

“There were enough suitably recruited staff available to meet people's needs safely. Planned staffing levels were maintained and reflected the staffing arrangements we observed during our visit. Staff told us there were sufficient numbers of staff to support people safely and flexibly, including when attending activities and appointments.”

“Staff received induction, supervision, annual performance reviews and training relevant to the needs of people using the service. This included specialist training in mental health and bipolar disorder. Staff told us they felt supported in their roles and could request additional learning and development opportunities when…”