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Peacock Manor Nursing Home Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 27 March 2020

About the service

Tancred Hall Nursing Home provides residential and nursing care for younger adults and older people who may be living with a physical disability, sensory impairment, mental health needs or dementia. The service is split into two areas. The 'Hall' provides residential and nursing care for people who may also be living with dementia. The 'Cottage' provides support for people with more advanced dementia or complex mental health needs. The service is registered to support up to 49 people, and 28 people were using the service when we inspected.

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

People benefited from a more welcoming and homely environment, but further improvements were needed to make sure all areas of the service were thoroughly and regularly cleaned.

People were supported to have choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests. We made a recommendation about record keeping in relation to the Mental Capacity Act 2005.

People’s care plans were being reviewed and updated to make sure they consistently contained person-centred information about their needs, preferences and any risks to their safety.

People were supported to eat and drink enough, but their dietary requirements were not always clearly recorded to guide staff and help make sure they received consistent support. We spoke with the manager about the importance of reviewing records to make sure actions were recorded and handed over where people had not had a lot to drink.

The manager had made significant and widespread improvements to the quality and safety of the service. Whilst this work was ongoing and further improvements were needed in some areas, they were aware of what was needed and work was ongoing to deliver the planned improvements. Systems had been put in place and were being embedded to help deliver sustained improvements. The provider had appointed a new nominated individual and arranged for audits to help monitor progress and support improvements.

Improvements had been made to the way medicines were managed and administered. People received safe support to take their prescribed medicines.

The provider had improved their recruitment process. Safe systems were in place to make sure enough suitable staff were deployed. People benefited from patient and unrushed support when they needed it.

People were supported to stay safe by staff trained to identify and report any safeguarding concerns. Risks relating to the environment and fire safety had been addressed and the provider continued to make significant improvements to the quality and safety of the service.

People benefited from a more comfortable, stimulating and homely environment. Work was ongoing to continue redecorating and renovating the service.

Improvements had been made to help make sure suitably trained and supervised staff were deployed. New staff received an induction to the service. Existing staff, including nurses, completed a range of training and received supervisions to monitor their performance and support them to develop in the role. Plans were in place to complete annual appraisals.

Staff worked with professionals to make sure people’s complex needs were met and they received medical attention if required.

Improvements had been made to the range of activities on offer. People benefited from more regular and meaningful activities to help avoid social isolation. There was a relaxed, happy and friendly atmosphere within the service and people shared friendly interactions with staff throughout our visit.

Staff were kind and caring. Interactions were more person-centred and less task orientated. People’s personal care needs were met and they were supported to have regular baths or showers. People were supported to maintain their privacy and dignity.

People felt able to speak with staff or management if they were unhappy or needed to complain. The manager was approac

Inspection areas

Safe

Requires improvement

Updated 27 March 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 27 March 2020

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 27 March 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 27 March 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 27 March 2020

The service was not always well-led.

Details are in our well-led findings below.