Peacock Manor Nursing Home

Updated 22 July 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 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

Peacock Manor 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 dependent on their registration with us. Peacock Manor is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

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 unannounced.

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 professionals who work with the service. 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 took this into account when we inspected the service and made the judgements in this report. We used all this information to plan our inspection.

During the inspection

We spoke to the registered manager, the quality assurance manager and two people who lived at the service as part of the inspection. We reviewed a range of records. This included four peoples care records and multiple medication records. We looked at four staff files in relation to recruitment and supervisions and a variety of records relating to the management of the service.

After the inspection

We spoke to six relatives, three people who lived at the service and five staff members. We continued to seek clarification from the provider to validate evidence found. We looked at policies and procedures and quality assurance records.

Updated 22 July 2022

About the service

Peacock Manor Nursing Home is a residential care home providing personal and nursing care to up to 49 people. The service provides support to older people, some of which may be living with dementia, physical disabilities or have mental health conditions. At the time of our inspection there were 43 people using the service.

Peacock Manor nursing home offers accommodation to people over two wings, ‘The Hall’ and ‘The Cottage’. Both wings have communal dining and lounge areas and there is a large garden which people can access throughout the day.

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

People were supported by staff who knew them, who listened to their opinions and acted on them. Care plans helped aide in their care however some details in these needed reviews to ensure they were consistently accurate, and person centred. We have made a recommendation about this.

People told us their rooms were kept clean and tidy however on the day of the inspection we found that areas of the home were not cleaned to a good standard and renovation was needed in many areas to help improve the environment. This did not seem to affect the people in the service and an extensive renovation plan was in place by the provider. We have made a recommendation about this.

The dining experience had been improved and people enjoyed the variety of meals offered, telling us they had a choice and staff supported them to maintain a healthy diet. People were offered plenty of drinks and snacks throughout the day and staff were seen to be attentive to those who were nursed in bed.

Effort had been made by the provider to ensure a more consistent staffing team. People and relatives were complimentary about the staff and found them to be helpful, caring and respectful. One relative told us, “They talk to [Relative] all the time, the people are lovely, very patient.” and one resident told us, “Staff are wonderful.”

Systems were in place to monitor the quality and safety of the service to help ensure people received good care. Staff felt supported in their roles and the registered manager was proactive in responding to any feedback to improve the service. One staff member told us, “Management is very supportive and there is a nice team.”

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 (published 22 July 2021) and there were 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 inspection was prompted by a review of the information we held about this service. Breaches in regulation were found at the last inspection so we also undertook this inspection to review their action plan and confirm they now met legal requirements.

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. The overall rating for the service has changed from requires improvement to good based on the findings of this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Peacock Manor Nursing Home 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.