Background to this inspection
Updated
7 August 2019
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
The inspection was carried out by one inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Peel Gardens Residential and Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.
The service did not have a manager registered with CQC. An application to register with CQC was in progress. The registered provider is legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
Before the inspection, we looked at the information we held about the service. This information included statutory notifications the provider had sent to CQC. A notification is information about important events which the service is required to send us by law. We also looked at comments left by people on an independent website.
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We also contacted local authority commissioners and asked them for their views about the service. This information helps support our inspections. We used all this information to plan our inspection.
During the inspection
During the inspection, we spent time in the communal areas observing how staff provided support for people to help us better understand their experiences of the care they received. We spoke with four people living in the home and with five relatives. We also spoke with the deputy manager, a support manager, two registered nurses, three care staff and the activity organiser.
We had a tour of the premises and looked at a range of documents and written records. These included three people's records related to their care and support, three staff recruitment records, staffing rotas, training, induction and supervision records, minutes from meetings and complaints and compliments records. We also looked at maintenance and servicing certificates and records related to the auditing and monitoring of service.
Updated
7 August 2019
About the service
Peel Gardens Residential and Nursing Home is a purpose-built residential care home providing personal and nursing care for 45 people. Within this number, the service also provides care and support for people living with a dementia.
Accommodation is provided over two floors. The home is situated in a quiet residential area of Colne near to local amenities. There is adequate parking.
People’s experience of using this service and what we found
People were very happy about the care and support they received and with the way the home was managed. They made positive comments about the manager and the staff team and were happy with the recent improvements made. The manager considered people’s views about the quality of care provided and used the feedback to make improvements to the service. All aspects of the quality of the service were monitored and appropriate action was taken to improve the service when needed. Lessons learned were discussed at management and staff meetings.
People felt safe and described staff as kind, patient, friendly and caring and described the care as excellent. Staff had access to safeguarding adults' procedures and understood how to protect people from abuse. Risk assessments were carried out to enable people to retain their independence and receive care with minimum risk to themselves or others. Some people, and their relatives, told us they were concerned about the risks associated with other people’s behaviours. We observed staff responding to difficult situations in a calm and patient manner and records showed appropriate action had been taken to respond to any incidents. People were protected from the risks associated with the spread of infection.
Recruitment processes ensured new staff were suitable to work in the home and there were enough staff to meet people's needs and ensure their safety. People received their medicines when they needed them from nursing staff who had been trained and had their competency checked.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People's care needs were assessed prior to them living in the home.
Staff received induction training and ongoing training, supervision and support. Staff felt valued and supported. People enjoyed the meals and were supported to eat a nutritionally balanced diet. They had access to various healthcare professionals, when needed. People were happy with their bedrooms and with the communal areas. A development plan was in place to ensure ongoing refurbishment and redecoration.
Staff treated people with dignity, respect care and kindness and knew people well. We observed positive, caring and warm interactions between staff and people who lived in the home. Staff spoke with people in a friendly and patient manner and we overheard laughter and friendly banter. Staff knew about people’s routines and preferences and people told us they received the care they needed and wanted. People or their relatives, where appropriate, had been consulted about care needs.
People enjoyed a range of appropriate activities and entertainments and links with local community groups had been developed to enhance people’s lives. People were supported to maintain contact with their friends and family and friendships had developed within the service. People could raise any complaints or concerns if they needed to and had access to a complaint’s procedure.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was Good (published 17 March 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.