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Peel House Nursing Home Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 15 November 2019

About the service

Peel House is a Nursing Home providing personal and nursing care to 37 people aged 65 and over at the time of the inspection. The nursing home can accommodate up to 52 people over two floors.

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

The provider did not always ensure safeguarding incidents were reported to the local authority and CQC.

The provider did not have enough staff trained in end of life care. We made a recommendation about this.

The provider did not always have effective governance systems to monitor the service and drive the necessary improvement. At times, there was a lack of detailed records regarding medicines, recruitment and complaints management.

Staff were not always supported with regular supervision but told us they felt well supported by the registered manager and had enough training to undertake their roles effectively.

Despite this, people were happy living at Peel House Nursing Home and told us they felt safe. There were enough staff to meet people’s needs.

People were supported by staff who were kind and caring. People had access to a range of activities and were supported to maintain links with the community and those important to them.

People were positive about the food and drink. Where they needed external health input they were supported to receive this.

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 and update

The last rating for this service was Requires Improvement (report published 20 February 2019) and there were three breaches of regulation. At this inspection we found the service had improved and was no longer in breach of those three regulations. However, a new breach of regulation was identified in relation to appropriate reporting of significant events. This service has been rated requires improvement for the last five consecutive inspections.

Why we inspected

This was a responsive inspection to follow up on action we told the provider to take at the last inspection.

You can see what action we have asked the provider to take at the end of this full report.

The provider demonstrated a willingness to make improvements and during the inspection acted to mitigate some of the risks to ensure the service worked towards consistently providing good, safe, quality care and support.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Peel House Nursing Home on our website at www.cqc.org.uk.

Follow up

We identified a breach of regulation and because this is the fifth consecutive time the service has been rated as requires improvement we will request a clear action plan from the provider to understand what they will do to improve the standards of quality and safety. We will also meet with the provider following receipt of this plan. 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.

Inspection areas

Safe

Requires improvement

Updated 15 November 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 15 November 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 15 November 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 15 November 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 15 November 2019

The service was not always well-led.

Details are in our well-Led findings below.