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Inspection Summary


Overall summary & rating

Good

Updated 17 December 2019

About the service

Peregrine House is a residential care home providing personal care for up to 40 people aged 65 and over who may be living with dementia in one adapted building. At the time of this inspection 34 people were living at the service.

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

Governance systems had been developed and improved since the last inspection. These needed further development to ensure they clearly detailed areas of the service that were being checked and actions taken to improve the service.

People told us they were happy and felt staff had a good understanding of their care and support needs. Support was delivered in safe way by a consistent team of staff who had the skills, knowledge and relevant training to support people. Management encouraged staff to continuously develop their skills.

Medicine support was delivered in a safe way. Safeguarding concerns had been referred to the local authority when required. Risks to people were recorded, but the level of risk had not always been identified. The registered manager took action to address this. Accidents and incidents were monitored and recorded.

Staff communicated with relevant professionals to ensure people received the healthcare support they required. People were provided with a variety of meals which they told us they enjoyed.

People were treated with dignity and respect and their independence was promoted. Staff understood the importance of social interaction and this was encouraged. People had opportunities to take part in stimulating and enjoyable activities. Consideration was given to people’s specific interests and how participation within the local community could be encouraged.

Staff spent time getting to know people and their life histories. They understood the importance of this, which stimulated meaningful conversations and activities. Care plans contained person-centred information and people’s end of life wishes were clearly recorded.

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 were involved in decisions and their choices were respected. Information was presented in a way people could understand.

People and staff spoke positively of the management team. The registered manager was passionate about ensuring people received the support they required. Regular feedback on the service provided was requested from people and relatives and action was taken when shortfalls were found.

For more details, please see the full report which is on the Care Quality Commission’s (CQC) website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 2 November 2018) and there were multiple breaches of regulation. 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 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.

Inspection areas

Safe

Good

Updated 17 December 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 17 December 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 17 December 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 17 December 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 17 December 2019

The service was not always well-led.

Details are in our well-led findings below.