We carried out a review of the data available to us about Peartree Care Home on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Peartree Care Home, you can give feedback on this service.
Peartree Care home is a residential care home providing personal and nursing care to up to 70 people. At the time of the inspection, there were 61 people living there. The accommodation was spread over four floors. There were communal lounges and dining rooms on each floor and a garden
People’s experience of using this service
People told us they felt safe living in this service and well supported. A person told us “They are nice people, I can’t praise them enough”.
The provider operated suitable systems to assess risks to people’s wellbeing and take appropriate actions to mitigate these. Safeguarding procedures were used effectively to prevent people from abuse and avoidable harm. The service worked with local partners to ensure the safe management of medicines. Staff were safely recruited and deployed to meet people’s needs. Managers reviewed incidents to ensure that lessons were learned when things had gone wrong and were open and transparent about their findings.
There were suitable measures to protect people from COVID-19, including the appropriate use of protective personal equipment (PPE) and access to testing and vaccination. The service was prepared to ensure family members could visit safely and used video calling. The service e was clean and hygienic throughout, with enhanced cleaning of frequently touched surfaces to protect people from cross infection.
The service engaged positively with people and their family members to keep them informed about changes to the service and to encourage participation in the daily life of the home. The service took account of people’s equality characteristics to ensure people were fully engaged. There were improved systems of audit to assess the performance of the service and systems of communication to make sure people understood their responsibilities and share information appropriately. The service had successfully delivered an action plan to address previous concerns and was committed to continuous improvement.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection:
The last rating for this service was requires improvement (published 4 December 2019).
Why we inspected
We carried out an announced comprehensive inspection of this service on 24 September 2019. A breach of legal requirements was found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment.
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.
The inspection was prompted in part by notification of a specific incident, following which a person using the service sustained a serious injury. The information CQC received about the incident indicated concerns about the management of risks from equipment. This inspection examined those risks.
The ratings from the previous comprehensive inspection for those Key Questions not looked at on this occasion were used in calculating the overall rating at this inspection. 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 Peartree Care Home on our website at www.cqc.org.uk.
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.
Peartree Care home is a residential care home providing personal and nursing care to up to 70 people. At the time of the inspection, there were 65 people living there. The accommodation was spread over four floors. There were communal lounges and dining rooms on each floor and a garden.
People’s experience of using this service
People had positive experiences living here. One person told us, “I like it very much. The staff treat me very nice.” A relative told us, “We looked around for a care home and this was the best. [Family member] is taken care of very well here.”
People and their relatives told us they thought the home was a safe place. Staff knew how to protect people from abuse.
However, we found that some people were at risk of harm because risk management plans were not always being followed and medicines were not always managed or stored safely.
There was a system of daily safety checks and audits in place, but these did not identify issues with high fridge temperatures.
The home was well-maintained, exceptionally clean and smelled fresh throughout. Staff were following correct infection control procedures.
People had detailed care plans which they and their relatives helped develop and these were reviewed regularly. People told us they were treated with respect and that staff promoted their privacy and dignity.
The home had a wide range of activities and outings. Activities were relevant to people’s interests, recognised people’s diversity and promoted their wellbeing.
People told us they enjoyed the food. People’s dietary requirements and preferences were met.
There was a positive culture of good, person-centred care and staff we spoke with were caring, enthusiastic and knowledgeable. People and relatives spoke highly of the caring staff and management.
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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection:
The last rating for this service was good (published 27 April 2017).
Why we inspected
This was a planned inspection based on the previous rating.
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 return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
At the last inspection on 19 January 2015, the service was rated Good. At this inspection we found the service remained Good.
The service had a registered manager who had worked at the service for several years. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
People’s medicines were administered safely, as prescribed. Medicines were also managed and stored securely to ensure they were safe. There were risk assessments which identified risks to people and management plans put in place to ensure people’s health and well-being were maintained.
People consented to the care and support they received. The service complied with the requirements of the Mental Capacity Act (MCA) 2005 and the Deprivation of Liberty Safeguards (DoLS). Staff had been trained and understood their responsibilities in relation to MCA and DoLS.
People were safeguarded from the risks of abuse and improper treatment. Staff had received training on safeguarding and they were knowledgeable on the procedure to follow if they had any concerns. There were sufficient staff available to meet people’s needs safely.
People told us staff were kind and caring. We observed that staff treated people with respect and promoted their dignity. People were supported to communicate their views about how they wanted to be cared for.
People’s nutritional needs were met. People told us they enjoyed the choice of food that was available to them. People had access to food and drinks throughout the day. People were kept occupied and encouraged to participate in activities.
Staff were trained on various areas to impact them with the relevant skills, knowledge and experience to provide good care to the people they looked after. Staff received regular support and supervision to carry out their duties effectively.
The service liaised with various healthcare professionals to meet the needs of people. People at the final stages of their lives were supported in line with their wishes and they were cared for in a dignified way. The service honoured and celebrated the lives of people who had passed on from the service and gave staff and the people’s relative’s opportunity to reflect on their lives. The home hold a ‘Beacon Status’ accreditation through the Gold Standard Framework for end of life care. This award confirmed the service had proven they delivered high quality care to people in their last stages of life.
People had their individual needs assessed and their care planned in a way that met their needs. People received care that reflected their preferences and choices. Reviews were held with people and their relatives to ensure people’s support reflected their current needs.
People and their relatives had opportunities to share their views and give feedback about the service and these were acted upon. The registered manager responded appropriately to complaints about the service. The service was subjected to regular quality checks to ensure the service was of good quality and met people’s needs.
This unannounced inspection took place on 19 January 2015. The last inspection of Peartree Care Centre took place on 22 September 2013. The service met all the standards we inspected at that time.
The service provides care and accommodation to 75 older people in a purpose built four storey building. Each floor has a dining room and sitting areas. People’s rooms are large with an adjoining bathroom. The ground floor has 13 rooms for people with nursing needs. The first and second floors each have 19 rooms for people who have residential care needs related to dementia. The third floor has 19 rooms for people with nursing needs.
The service has a registered manager who has been in post since 2008. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
People in the service received safe care and support. Medicines were kept securely and people received their medicines as prescribed. The service identified risks to people and had up to date plans in place to keep them as safe as possible. People were asked for their consent to the care and support they received. The service met the legal requirements of the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards (DoLS).
There were sufficient staff available to meet people’s needs. People told us staff were kind and caring. We observed that people were treated with dignity and respect by the staff who cared for them. People were supported to communicate their views about how they wanted to be cared for. People told us they enjoyed the choice of food that was available to them at the service.
Staff received comprehensive training on the care of older people and received support to carry out their duties. Staff had a good understanding of how to meet the needs of people with dementia.
The service had received an award in recognition of staff skills in providing care to people in the final years of life. People told us the care and support they received kept them as comfortable as possible. They said there were effective arrangements in place for them to plan how they should be cared for in future. Health professionals told us the service communicated well with them to ensure people received appropriate care and treatment.
The service had assessed people’s individual needs and planned the delivery of their support. People received care that reflected their preferences and choices. Reviews were held with people and their relatives to ensure people’s support reflected their current needs.
People were asked for their views and their feedback was used to develop the service. The registered manager responded appropriately to complaints about the service. They made regular checks on the quality of the service to ensure that care records were up to date and people were safe. Developments were made to the service, such as the recruitment of ‘dementia friends’ to promote the understanding of the needs of people with dementia.
The staff team felt supported by their managers and welcomed the opportunities that the company provided for training and learning. The management team had good oversight of the way that the home operated and had put in place systems to learn from what people said and responded to the views of people and their relatives to make improvements.
The inspection team was led by a CQC inspector joined by an Expert by Experience (people who have experience of using services and who can provide that perspective) and a practising professional.
We spoke to people using the service. They told us that their views and preferences were respected and that they had choices about which activities they got involved with. They said that they were treated well at the home and had choices about what food was on the menus. They said they knew how to raise any concerns they had about the way they were treated at the home.
We also used the Short Observational Framework for Inspection (SOFI). SOFI is a specific way of observing care to help us understand the experience of people who could not talk with us. At Peartree Nursing Home there are a number of people who have dementia or find it difficult to communicate verbally.