14 March 2023
During an inspection looking at part of the service
Pegasus is a residential care home providing accommodation and personal care for up to 6 people with a learning disability and autism. At the time of the inspection 4 people were living at the home.
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
People’s experience of using this service and what we found
Right Support:
Staff focused on people’s strengths and promoted what they could do, so people had a meaningful everyday life. Staff supported people to take part in activities and pursue their interests in their local area. People were able to personalise their rooms. Relatives told us they felt their loved ones were safe at the home. Staff supported people with their medicines in a way that promoted their independence and achieved the best possible health outcome.
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.
Right Care:
People received kind and compassionate care. Staff protected and respected people’s privacy and dignity. They understood and responded to their individual needs. Staff understood how to protect people from poor care and abuse. The service worked well with other agencies to do so. Staff had training on how to recognise and report abuse and they knew how to apply it. The service had enough appropriately skilled staff to meet people’s needs and keep them safe. People could communicate with staff and understand information given to them because staff supported them consistently and understood their individual communication needs.
Right Culture
Some systems required improving to ensure records were person centred and audits were effective to drive improvements in all areas. The provider had an improvement plan in place which was updated to include the feedback we shared during and following our inspection. The registered manager and nominated individual demonstrated a commitment to delivering improvements and achieving best outcomes for people. People and those important to them, including advocates, were involved in planning of their care. Staff ensured risks of a closed culture were minimised so that people received support based on transparency, respect and inclusivity.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was requires improvement (published 13 August 2019)
Why we inspected
This inspection was prompted by a review of the information we held about this service. We undertook a focused inspection to review the key questions of safe and well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
The overall rating for the service has changed from requires improvement to good based on the findings of this inspection. We have found evidence that the provider needs to make some improvements. Please see the well led section of this full report.
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.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Pegasus Care Homes Limited - Harden 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.