Archived: The Paceys

Updated 3 January 2024

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 Health and Social Care Act 2008.

Inspection team

The inspection was carried out by 1 inspector and 1 regulatory co-ordinator.

Service and service type

The Paceys is part of The Wilf Ward Family Trust, a not for profit organisation. It is a home providing a short breaks residential service with a holiday style atmosphere providing personal care and can accommodate up to seven young adults with learning and/or physical disabilities and younger people.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was announced. We gave the service notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the to support the inspection.

What we did before the inspection

We reviewed information we had received about the home. We sought feedback from the local authority and professionals who work with the service.

During the inspection

We spoke with 6 staff including the registered manager, the nominated individual and care staff. We spoke with 1 person and 5 relatives about their views of the care provided. We reviewed the care records for 4 people, medicine records, staff recruitment, records related to governance systems and processes and other documentation relevant to the running of the service. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

Updated 3 January 2024

About the service

The Paceys is part of The Wilf Ward Family Trust, a not for profit organisation. It is a home providing a short breaks residential service with a holiday style atmosphere providing personal care and can accommodate up to seven young adults with learning and/or physical disabilities and younger people. At the time of the inspection, the provider told us 45 people were receiving support from the service. During our inspection 2 people were staying at the home.

People's experience of using this service and what we found

Right Support: People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests. However, we found capacity assessments and best interests had not always been recorded or updated. This was identified on the provider’s continuous improvement plan to address when people next visited the home.

Medicines were managed safely although some records were not well completed. Documentation relating to medicines given on top of food was not in place for 1 person and some controlled medicine records had not been signed by 2 staff members. Risk assessments included detailed information about people's needs.

Right Care: Staffing levels were sufficient to meet people's needs. However, the provider acknowledged difficulties in recruiting staff and had therefore reduced the hours the service opened to ensure the quality of care remained good. Systems were in place to safeguard people from the risk of abuse and people told us they felt safe with the staff who supported them. Incidents and accidents were reported, investigated and measures taken to mitigate future occurrences.

Right Culture: The provider had robust quality assurance and governance systems in place to assess, monitor, and improve the quality and safety of the service. People and their relatives knew how to complain and felt comfortable raising concerns with the provider. People and their relatives told us they were happy with the support they received. Staff felt supported by the management team.

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 7 June 2017).

Why we inspected

This inspection was prompted by a review of the information we held about this service.

This report only covers our findings in relation to the Key Questions Safe and Well Led. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

Enforcement and Recommendations

We have made a recommendation about the Mental Capacity Act.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.