Peel Gardens Residential and Nursing Home

Updated 24 September 2022

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 Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by one inspector.

Service and service type

Peel Gardens Residential and Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service should have a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided. However, the manager in place was in the process of being registered by (CQC) and an application had been submitted. At the time of our inspection there was not a registered manager in post.

Notice of inspection

This inspection was announced. We gave the service 24 hours’ notice. There was a prevalence of COVID-19 in the geographical area at the time of the inspection and we needed to ensure it was safe and there were sufficient management staff available to support the inspection. Inspection activity started on 18 August 2022 and ended on 23 August 2022. We visited the location on 18 August 2022.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and commissioners who work with the service. We also looked at information we had received and held on our system about the service, this included notifications sent to us by the provider and information passed to us by members of the public. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with five people who lived at Peel Gardens Residential and Nursing Home, two relatives of people, six members of staff, the manager and a nurse. We observed staff interaction with people. In addition, we reviewed a range of records. These included care records of people, medication records, two staff files in relation to recruitment and staff training records. We also reviewed a variety of records relating to the management of the service. We had a walk around the premises and looked at infection control measures.

After the inspection

We continued to seek clarification from the manager to validate evidence found. We looked at their quality assurance systems, staff training and care records.

Updated 24 September 2022

About the service

Peel Gardens Residential and Nursing Home provides personal care and nursing care for up to 45 older people and people living with dementia. At the time of the inspection 31 people were living at the home.

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

A system for staff recruitment was in place and we confirmed all checks had been completed prior to staff starting work at the home. The building was clean and hygienic, and staff were seen to wear appropriate personal protective equipment (PPE). There were sufficient care and nursing staff to meet people’s care and support needs. People’s safety was at the centre of care delivery. A relative said, “It’s a lovely home with very good staff that are always around if you need them.” Risks were assessed and carefully monitored to ensure individuals safety. People received their medicines safely by qualified trained nurses.

There was a programme of staff training and regular updates were documented for staff to attend courses on site with the in-house training staff. People’s care records contained social hobbies and likes and dislikes in food choices. People received support with their healthcare and nutritional needs. Comments from people were positive about the quality and choice of meals provided and included, “Very good food and plenty of it.” 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.

We observed staff spent time with people and comments found staff to be caring and treated people with respect and dignity. A relative said, “I come most days and find the staff caring and willing to sit and chat with people and not feel rushed.”

Activities were varied, staff had worked hard with people to provide meaningful social activities to provide stimulation and exercise. A new activities Co Ordinator had recently been employed at the home and was taking up their position imminently. There was a complaints process which people and relatives were aware of and they had information about the procedure to follow.

The management team had auditing systems to maintain ongoing oversight of the service and make improvements where necessary. Quality assurance processes ensured people were able to give their views of the service.

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

Rating at last inspection

The service was registered with us on 20 July 2020 and this is the first inspection.

Why we inspected

This was a planned first inspection based on their registration

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.