Peel House Nursing Home

Updated 22 April 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. 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 carried out by 2 inspectors, a specialist nurse advisor 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 House Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Peel House Nursing Home is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

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.

What we did before the inspection

We reviewed information we held about the home and contacted the local authority. 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 8 people and 4 relatives about their experience of the care provided. We spoke to 5 members of staff including the registered manager and nominated individual. The nominated individual is responsible for supervising the management of the home on behalf of the provider. We received feedback from 3 health and social care professionals. 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.

We reviewed a range of records. This included 5 people's care and support records and viewed people’s medicine administration records. We looked at 3 staff files in relation to recruitment and training. We also reviewed a variety of records relating to the management of the home, including policies and procedures, staffing rotas, accident and incident records, safeguarding records and reports.

Updated 22 April 2023

About the service

Peel House Nursing Home is a nursing home providing personal and nursing care to people aged 65 and over, some of whom live with dementia and/or mental health conditions. The nursing home can accommodate up to 52 people over two floors which are accessible by stairs or a lift. There were 44 people receiving a service at the time of inspection.

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

The registered manager and senior management team had made improvements within the home since our last inspection. Governance systems were operating effectively and had enabled the registered manager to identify further improvements such as with care records and communication. A visiting health and social care professional told us, “There were concerns around care planning however this has since been improved and more importantly we have seen evidence that this has be sustained. I have been impressed with the management within the home they are always very proactive at seeking support.”

People told us they felt safe at Peel House Nursing Home and staff knew them well, one person stated, “Yes I am safe, nothing is too much hassle [for care staff]. If I have a problem, they will do whatever they can to sort it.” Staff supported people in a kind and compassionate way, considering their dignity and respecting people’s rights. 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. Care plans and risk assessments were person centred.

The culture of the home was open and transparent. The registered manager demonstrated joint working with health professionals who provided specialist support to people, involving their families and other professionals as appropriate. Staff demonstrated a good understanding of providing people with person centred care and spoke knowledgably about how people preferred their care and support to be given.

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 requires improvement (published 13 November 2019).

The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This inspection was carried out to follow up on action we told the provider to take at the last inspection.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.

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 requires improvement to good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Peel House Nursing Home on our website at www.cqc.org.uk

Follow up

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