5 January 2024
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.
The inspection was completed by 1 inspector.
Service and service type
Pearce Lodge 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. Pearce Lodge is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
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 had received about the service since our 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 2 people who used the service and 2 relatives. We also spoke with 7 members of staff including the registered manager, team leader, and care staff.
We reviewed a range of records. This included 2 people's care records, medicine records and a variety of records relating to the management of the service, including policies and procedures. We also reviewed 2 staff files in relation to recruitment and training.
We completed an out of hours visit to the service on the 17 December 2023.
5 January 2024
About the service
Pearce Lodge is a residential care home providing personal care for up to 5 people who have a physical and/or a learning disability. At the time of our inspection there were 3 people using the service. The property is situated in a quiet residential area of Hazel Grove, Stockport and is close to local amenities. People have their own bedrooms and share communal areas including an adapted bathroom, and safe outside space.
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 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. People's freedom was not unnecessarily restricted, a positive behaviour support approach was taken and physical restraint was not used. Suitable equipment to support with mobility was in place and subject to regular checks. Staff completed a variety of training to ensure they had the specific skills to meet people’s complex needs, however we have made a recommendation about learning and development.
People were supported by staff who knew them well and were kind and caring toward them. People's safety and care needs were identified, and care was planned to ensure their needs were met. Staff understood how to protect people from abuse and were confident the registered manager would take action to protect people, should this be required. Suitable recruitment checks in place to ensure staff were of suitable character to support people and there were sufficient numbers of staff to support people to live their daily lives.
There was a positive and person-centred culture at the service. People and relatives had opportunities to share feedback on the service. Staff were involved in sharing feedback through meetings and felt valued in their roles. The positive culture meant people received care that was tailored to their needs and supported positive risk taking. The service engaged in a wide variety of forums to drive improvement with the service and within the health and social care system.
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 16 October 2017).
Why we inspected
This inspection was prompted by a review of the information we held about this service.
We have made a recommendation about the learning and development provision.
We will continue to monitor information we receive about the service, which will help inform when we next inspect.