Pegasus Care Home

Updated 17 November 2023

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.

As part of this inspection, we looked at the infection control and prevention measures in place in the care home. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was undertaken by 2 inspectors 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

Pegasus is a care home. People in care homes receive accommodation and personal care as a single package under one contractual agreement dependent on their registration with us. Pegasus care home does not provide nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Pegasus care home also provides care and support to people living in 4 supported living settings, so that they can live as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support.

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 unannounced.

Inspection activity started on 28 September 2023 and ended on 18 October 2023 when formal feedback was provided. We visited the service on 28 September 2023. Phone calls to relatives and people’s representatives were undertaken on 04, 10 and 12 October 2023.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 13 people who used the service and 4 relatives, this included people living in the care home and those supported to live independently.

We spoke with 7 staff which included team leaders, support staff, and the registered manager.

We reviewed and sampled a range of documents and records including the care and medicine records for 11 people, and 3 staff recruitment files. We also looked at records related to the management and quality assurance of the service.

Updated 17 November 2023

About the service

Pegasus Care home is a residential care home providing accommodation and personal care for up to 12 people with a learning disability, mental health needs and autistic people. At the time of the inspection 11 people were living at the care home.

The provider is also registered to provide a supported living service. At the time of the inspection 7 people were supported to live independently in their own homes. Some of these people lived with other people in ‘shared homes’ and received 24 hour staff support.

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

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

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

Right Support:

Staff supported people with their medicines, however records needed improving to ensure the number of medicines at the care home was recorded accurately and checked to confirm people had their medicines when they needed them. Risks to people were not always properly assessed and recorded to explain why people may not be able to use certain parts of the home for their safety. People were supported by staff who knew them well and understood their needs. However, care plans and risk assessments were not always detailed and reflected people’s aspirations, goals and development of life skills. The registered manager was responsive to our feedback and took action to address the issues identified.

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; the policies and systems in the service supported this practice.

Pegasus Care home does not fully meet the current guidance on small, ordinary homes forming part of a local community. However Pegasus Care home was close to local amenities and people regularly accessed local facilities.

Right Care:

Staff protected and respected people’s privacy and dignity. Staff understood how to protect people from poor care and abuse. The service worked well with other agencies to do so. Staff had training on how to recognise and report abuse and they knew how to apply it. Staff promoted equality and diversity in their support for people. They understood people’s cultural needs and provided culturally appropriate care.

Right Culture:

Improvements were needed to the current systems to make them more effective to monitor the quality of the service and drive improvement. Staff turnover was very low, which supported people to receive consistent care from staff who knew them well. People and those important to them, including advocates, were involved in planning their care. The registered manager was open and transparent throughout our inspection and demonstrated a commitment to delivering improvements and achieving best outcomes for people. They acted on queries and our feedback throughout the inspection.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update. The last rating for this service was good. (Published 17 April 2019.)

Why we inspected

The inspection was prompted in part due to concerns received about unexplained bruising. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from good to requires improvement based on the findings of this inspection. We have found evidence that the provider needs to make improvements. Please see the safe and well led Key question of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Pegasus Care home on our website at www.cqc.org.uk.

Enforcement

We have identified breaches in relation to the management of risk and how the provider monitors the service provided.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.