Peachment Place

Updated 4 January 2023

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.

Inspection team

The inspection team consisted of one inspector 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

This service provides care to people living in ‘extra care’ housing. Extra care housing is purpose-built or adapted single household accommodation in a shared site or building. The accommodation is rented and is the occupant’s own home. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for extra care housing; this inspection looked at people’s personal care.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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. At the time of our inspection there was a registered manager in post.

Notice of Inspection

This inspection was announced. We gave the service 24 hours' notice of the inspection. This was because we needed to be sure the registered manager would be available to support the inspection and people would be at home to speak with us.

Inspection activity started on 19 October 2022 and finished on 21 October 2022. We visited Peachment Place on 19 October 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 commissioners. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 8 people who use the service. We spoke with 4 staff including the director of care, registered manager and 2 care workers. We reviewed a range of records including 2 people’s care records and medicines records. We reviewed 2 staff recruitment files and managerial records such as quality audits and supervisions. After our visit the registered manager sent us some documents, we had asked for such as audits, training matrix and surveys carried out by the provider.

Updated 4 January 2023

About the service

Peachment Place is registered to provide personal care to people living in 'extra care' housing. The service supports a range of people of different age groups and varied support needs. Extra care housing is purpose-built or adapted single households in a shared site or building. People's care and housing are provided under separate contractual agreements. CQC does not regulate premises used for extra care housing; this inspection only looked at people's personal care service. Not everyone who used the service received personal care.

CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided. At the time of our inspection, there were 12 people receiving personal care.

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

People's support plans were person centred and contained detailed information about people and what was important to them. Medicines were managed safely. People were protected from the risk of infection.

Systems were in place to ensure people were safeguarded from abuse. Risks to people were assessed, monitored and managed. The provider worked well with other health care professionals supporting people to live a healthy life. Staff were well trained and had regular meetings.

Staff provided care and support in a caring and meaningful way. They knew the people who used the service very well and had built up kind and compassionate relationships with them. People and relatives, where appropriate, were involved in the planning of their care and support. People's privacy and dignity was maintained at all times.

Training was tailored to meet people's individual needs and the provider recognised that the on-going development of staff skills, competence and knowledge was central to ensuring high-quality care and support. Staff received regular, useful and engaging supervision from senior staff members. The staff appraisal system ensured all staff were working to the same vision and values as the provider.

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.

There were systems in place to monitor the quality of the service. There was a range of audits in place to check the quality of service provision. The registered manager and provider had clear oversight of the service and it was clear they were committed to and passionate about providing person centred care.

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

Rating at last inspection

This service was registered with us on 24 June 2021 and this is the first inspection.

Why we inspected

This inspection was prompted by a review of the information we held about the service.

Follow up

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