Background to this inspection
Updated
6 November 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
The inspection was carried out by two inspectors 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
Peregrine House 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.
The service had 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.
Notice of inspection
This inspection was unannounced.
What we did before inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with six people who used the service and one relative about their experience of the care provided. We spoke with nine members of staff including the registered manager, regional manager, deputy manager, assistant deputy manager, senior care workers, care workers and the chef. 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 reviewed a range of records. This included two people’s care records and multiple medication records. We looked at two 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 spoke with two relatives and reviewed records sent by the provider following the inspection.
Updated
6 November 2019
About the service
Peregrine House is a residential care home providing accommodation and personal care support to 35 people who have dementia, mental health, physical disability or sensory impairment and older people at the time of the inspection. The service can support up to 36 people.
Peregrine House is a purpose built home divided into four units on two floors. Each unit has people's bedrooms with toilet and sink facilities, and communal areas including a sitting area, a dining room, a kitchenette and bathrooms.
People’s experience of using this service and what we found
People’s needs were met safely by staff who were appropriately recruited and knew how to provide safe care. People were safeguarded against risk of abuse. People received safe medicines support. People were protected from the risk of infection. Incidents were analysed, and lessons learnt when things went wrong.
People's needs were assessed before they moved to the home. People and relatives told us staff provided effective care. People’s dietary needs were identified and met. People were supported by staff who were appropriately trained and supervised. People received consistent support to access ongoing healthcare services to live healthier lives.
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.
People and relatives told us staff respected them and they were caring and helpful. People received person-centred support from staff who provided care without discrimination. People were involved in the care planning process. People’s independence was promoted and encouraged.
People’s care plans were personalised. People were offered a range of group and individual activities. People were supported to engage with other people and in the community. People were satisfied with the complaint process. People’s end of life care wishes was explored, recorded, and me by trained staff.
People told us they were happy with the service. Relatives found the management approachable. Staff felt supported by the registered manager. People, relatives and staff feedback was sought, and their views considered to drive improvement. The service worked well with other agencies to improve people’s physical health and emotional wellbeing.
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 (published 19 October 2018) and there were multiple breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
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.