Background to this inspection
Updated
25 December 2019
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 Care Act 2014.
Inspection team
This inspection was carried out by an inspector, a Specialist Advisor Nurse, and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Peacemills is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority, Nottinghamshire Fire & Rescue Service and other professionals who work with the service. We contacted Healthwatch for feedback on the service, Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used all of this information to plan our inspection.
During the inspection
We spoke with eight people who used the service and one relative about their experience of the care provided. We spoke with nine members of staff including the provider, regional manager, the two registered managers (one who was newly registered), senior care workers, care workers, domestic staff and the cook.
We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us. We spoke with one visiting professional during the inspection to gain their opinions of the service.
We reviewed a range of records. This included five people’s care records and multiple medication records. We looked at four staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We reviewed the training data, policies and quality assurance records the provider had sent to us.
Updated
25 December 2019
About the service
Peacemills is a residential care home which can support up to 43 people. At the time of the inspection there were 36 people aged 60 and over living at the service. Some people residing at the service were living with dementia or related conditions.
The care home accommodates people in one adapted building, set over two floors. It has a large communal lounge and dining area for people, with access to a well-maintained garden area with outdoor seating. Smaller lounges were provided for people to watch television or for having private meetings with their family or professional visitors.
People’s experience of using this service and what we found
People received exceptionally kind and effective person-centred support from staff who were motivated and led to provide the best care they could. Staff supported people to make decisions for themselves and engaged with people and their relatives about their wishes and preferences.
The service's visions and values promoted people's rights to make choices and live a dignified and fulfilled life. 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.
The service was led by two registered managers and a dedicated staff team who were committed to delivering a service which improved the lives of people in creative ways. The registered managers sought to use innovative techniques in training the skilled and experienced staff team to provide the very highest quality of care and support to people.
Staff were proactive in supporting people to maintain as much independence as possible. People were able to live healthy lives through a good diet and nutrition. People and relatives felt they were partners in their care and encouraged to make decisions about this.
Staff understood how to make people feel valued and people told us this improved their lives and made them happy. The registered managers had created excellent community links that benefitted people. They had a strong focus on reducing isolation, loneliness and promoting intergenerational connection.
People received highly effective and responsive support with their health and social care requirements, the safe administration of their medications and a multi-disciplinary approach to all of their care and support needs.
The service was being refurbished by the committed provider to a high standard, which supported people to live well with dementia or sensory loss.
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 11 May 2017).
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.