Pegasus Care Homes Limited - Harden

Pegasus is a residential care home providing accommodation and personal care for up to 6 people with a learning disability and autism. At the time of the inspection 4 people were living at the home.

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’s experience of using this service and what we found

Right Support:

Staff focused on people’s strengths and promoted what they could do, so people had a meaningful everyday life. Staff supported people to take part in activities and pursue their interests in their local area. People were able to personalise their rooms. Relatives told us they felt their loved ones were safe at the home. Staff supported people with their medicines in a way that promoted their independence and achieved the best possible health outcome.

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.

Right Care:

People received kind and compassionate care. Staff protected and respected people’s privacy and dignity. They understood and responded to their individual needs. Staff understood how to protect people from poor care and abuse. The service worked well with other agencies to do so. Staff had training on how to recognise and report abuse and they knew how to apply it. The service had enough appropriately skilled staff to meet people’s needs and keep them safe. People could communicate with staff and understand information given to them because staff supported them consistently and understood their individual communication needs.

Right Culture

Some systems required improving to ensure records were person centred and audits were effective to drive improvements in all areas. The provider had an improvement plan in place which was updated to include the feedback we shared during and following our inspection. The registered manager and nominated individual demonstrated a commitment to delivering improvements and achieving best outcomes for people. People and those important to them, including advocates, were involved in planning of their care. Staff ensured risks of a closed culture were minimised so that people received support based on transparency, respect and inclusivity.

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 13 August 2019)

Why we inspected

This inspection was prompted by a review of the information we held about this service. We undertook a focused inspection to review the key questions of safe and well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

The overall rating for the service has changed from requires improvement to good based on the findings of this inspection. We have found evidence that the provider needs to make some improvements. Please see the well led section of this full report.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Pegasus Care Homes Limited - Harden on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.

We found the following examples of good practice.

People were supported to safely access the community and continued to enjoy their learning and social activities. This was positive for the wellbeing of people who were supported by the service.

Supplies of Personal protective equipment (PPE) were in place for staff and visitors. There were a number of PPE stations around the home for staff to put on and take off their PPE.

All visitors were required to have their temperature taken prior to being admitted to the home and provide evidence of a negative lateral flow test. Professional visitors were also asked for their COVID passports.

Effective communication systems were in place to ensure staff were kept up to date with the latest government guidance.

Cleaning schedules had been increased and additional audits had been implemented to monitor cleanliness and staff compliance with the provider’s infection control policy.

Pegasus Care Homes Limited-Harden is a residential care home providing personal care and accommodation for up to six people with learning disability. On the day of the inspection, three people were receiving support on a permanent basis and two people were receiving support on a short-term basis (respite support).

Services for people with learning disabilities and or autism are supported

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

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

People received support that was safe. The manager ensured people were safe and staff knew how to keep them safe from harm. Recruitment systems were in place to ensure only appropriate staff could support people. Where people needed support with medicines there was a risk this would not be carried out as it was prescribed. Staff supported people using appropriate equipment to ensure infection control procedures were followed. Systems were in place so monitoring of trends could take place where accidents or incidents had happened.

People received effective care. 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. Staff were supported so they had the skills to meet people’s needs. People decided what they had to eat and drink and staff supported them to maintain a balanced diet. Staff could access healthcare as required with the support from staff.

People received support that was caring and kind. People were supported how they wanted and staff promoted people’s privacy, dignity and independence.

People received support that was responsive to their needs. Care plans were in place to identify how people wanted to be supported. The provider had a complaints process in place, so people could share any concerns they had.

The service was not consistently well led. The culture in the service was open, empowering and inclusive. Communication standards encouraged people to share their views and spot checks and audits took place but were not effective in identifying concerns. We found concerns with how people’s medicines were recorded on the medicine administration record, which could potentially have led to people not receiving their medicines as it was prescribed.

Rating at last inspection:

This service was registered with us on 20/07/2018 and this is the first inspection.

Why we inspected

This was a planned comprehensive inspection.

Follow up

We will continue to monitor the service through the information we receive until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk