# 32 Petre House

*Operated by No 1 Healthcare Sheffield Ltd.*

32 Petre House is a CQC-regulated home-care agency in Sheffield.

## CQC Ratings

| Key question | Rating |
| --- | --- |
| Overall | Requires improvement |
| Safe | Good |
| Effective | Good |
| Caring | Good |
| Responsive | Requires improvement |
| Well-led | Requires improvement |

Rating published: 25/08/2021

## Practical info

- Postcode: S4 8LJ
- Registered manager: Nakamatte, Irene
- Local authority: Sheffield
- Region: Yorkshire & Humberside
- City: Sheffield
- Last CQC check: 02/Sep/2023 - 00:00

## Inspection findings

### effective

- Finding
  - Ensuring consent to care and treatment in line with law and guidance
  - Published: 2023-09-02
- Finding
  - Staff working with other agencies; Supporting people to live healthier lives and access healthcare services
  - Published: 2023-09-02
- Finding
  - Supporting people to eat and drink enough to maintain a balanced diet
  - Published: 2023-09-02
- Finding
  - Assessing people's needs and choices; delivering care in line with standards, guidance and the law
  - Published: 2023-09-02
- Finding
  - Staff support: induction, training, skills and experience
  - Published: 2023-09-02

### Other

- Finding
  - Evidence: Positive staff culture with staff reporting they enjoyed their work and felt well supported.
  - Published: 2023-09-02
- Finding
  - Evidence: Effective partnership working with community nurses, social workers and other health and social care professionals.
  - Published: 2023-09-02
- Finding
  - Evidence: Registered manager was approachable and responsive; people felt comfortable raising concerns.
  - Published: 2023-09-02
- Finding
  - Evidence: People and relatives reported staff were caring, kind, compassionate and respectful.
  - Published: 2023-09-02
- Finding
  - Evidence: Care records were person-centred, containing social history, needs and preferences to enable personalised care.
  - Published: 2023-09-02
- Finding
  - Evidence: Staff received induction including Care Certificate, mandatory training and shadowing experienced colleagues.
  - Published: 2023-09-02
- Finding
  - Evidence: People received medicines as prescribed; staff competency in medicines administration regularly checked.
  - Published: 2023-09-02
- Finding
  - Evidence: Staff assigned consistently to the same people, with enough travel time between calls.
  - Published: 2023-09-02
- Finding
  - Evidence: Sufficient staffing levels with people confirming there were always enough staff attending to provide care needed.
  - Published: 2023-09-02
- Finding
  - Evidence: Safe recruitment procedures confirmed staff were of suitable character, with DBS checks, references and proof of identity in place.
  - Published: 2023-09-02
- **leadership** _(moderate)_
  - Evidence: The provider had not kept full oversight of the service. This could have identified the issues with the quality assurance systems we found at this inspection.
  - Published: 2023-09-02
- **consent_capacity** _(minor)_
  - Evidence: There were no training records to show staff were up to date with MCA training. However, staff were aware of the need to give people choices.
  - Published: 2023-09-02
- **staff_training** _(moderate)_
  - Evidence: we found staff training records were incomplete. The registered manager told us they were considering purchasing an online package to proactively track and chase staff training.
  - Published: 2023-09-02
- **medication_management** _(moderate)_
  - Evidence: medicines audits lacked any detail, with no reference to current legislation and good practice guidance.
  - Published: 2023-09-02
- **governance** _(critical)_
  - Evidence: The provider had failed to fully establish effective systems and processes to demonstrate the quality and safety of the services provided was effectively managed.
  - Published: 2023-09-02

### safe

- Finding
  - Preventing and controlling infection
  - Published: 2023-09-02
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2023-09-02
- Finding
  - Using medicines safely
  - Published: 2023-09-02
- Finding
  - Staffing and recruitment
  - Published: 2023-09-02
- Finding
  - Assessing risk, safety monitoring and management; Learning lessons when things go wrong
  - Published: 2023-09-02

### well_led

- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering; Duty of candour
  - Published: 2023-09-02
- Finding
  - Engaging and involving people using the service, the public and staff; Working in partnership with others
  - Published: 2023-09-02
- Finding
  - Managers and staff being clear about their roles, quality performance, risks and regulatory requirements; Continuous learning and improving care
  - Published: 2023-09-02

## Source

Data published by the [Care Quality Commission](https://www.cqc.org.uk/) under the Open Government Licence v3.0. Canonical page: https://homecarecompass.co.uk/agency/1-7961213702

HomeCare Compass is an independent guide and is not affiliated with the CQC.