The Peele

Updated 31 May 2022

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 one inspector.

Service and service type

The Peele 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. The Peele 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 service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided. At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was announced. We gave a short period of notice of the inspection because of the COVID-19 pandemic. Inspection activity started on 12 April 2022 and ended on 20 April 2022. We visited the home location on 12 April 2022.

What we did before 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 did not ask the provider to send the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. We used all of this information to plan our inspection.

During the inspection

We spoke with five people who used the service and one relative about their experience of the care provided. We spoke with nine members of staff including the registered manager, deputy manager, clinical lead, two care practitioners, two care workers, a chef and kitchen staff. We observed staff interacting with people throughout the inspection. We reviewed a range of records, such as care records and multiple medication records. A variety of records relating to the management of the service, including quality assurance systems, survey feedback, maintenance records and policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at compliments, lessons learned and audit records. We contacted two members of the care team who work nights at the home and two more relatives for feedback.

Updated 31 May 2022

About the service

The Peele is registered to provide nursing and personal care for a maximum of 108 older people, some of whom are living with dementia. Due to extensive renovations several areas of the home were closed. At the time of our inspection there were 21 people living at the service.

The care home accommodates people in separate units, over three floors. Three units were operating at the time of this inspection. One of the units specialises in providing nursing care to people living with dementia. Two units were allocated to care for and support people waiting for assessments following discharge from hospital.

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

Robust recruitment procedures ensured suitable staff were employed. People were supported by staff who understood how to identify and report potential abuse. Medicines were managed so people received their medicines as prescribed. Risks to people's health, safety and well-being associated with their care needs were assessed and management plans were in place to ensure risks were reduced wherever possible. People told us they felt safe. Premises checks and all maintenance records were up to date. Required test and safety certificates were in place. When accidents or incidents occurred, learning was identified to reduce the risk of them happening again.

People had their care and support needs met by sufficient numbers of suitably trained staff. The care environment was clean, and a major programme of redesign and refurbishment was in progress. Infection control procedures were in place and staff used PPE effectively. Cleaning regimes were in place to help manage the COVID-19 pandemic.

People had the support they needed to maintain a balanced diet and good health. Staff received training and support to give them the knowledge and skills needed to care for people safely and effectively.

Staff promoted positive, caring relationships with the people who lived at the service. They knew how people preferred their care and support to be provided. Staff respected people’s privacy and dignity and promoted independence, equality and diversity. People and their relatives were involved in the planning and delivery of their care.

Care plans and risk assessments provided staff with relevant information so that person-centred care could be provided for people. The service had good working relationships with local GP practices and healthcare professionals. The service worked in partnership with people, their families and staff. We received positive feedback from people, professionals and staff about the service.

People were complimentary of the care they received. People and their relatives had appreciated the efforts of the home during the COVID-19 pandemic. The service was keen to re-establish partnerships with professionals following the COVID-19 pandemic, as visits to the home had been limited.

There was positive leadership in the service. The service had good governance arrangements in place and completed regular internal quality checks at all levels. Findings from audits carried out by those with nominated responsibilities were reviewed by senior management and used effectively to improve practice and the service.

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.

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

Rating at last inspection

This service was registered with us on 6 October 2020 and this is the first inspection. The last rating for the service under the previous provider was good, published on 27 March 2020.

Why we inspected

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

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

The overall rating for the service remains Good.

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