Pearl Peak House

Updated 2 August 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 was carried out by 1 inspector.

Service and service type

Pearl Peak House is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Pearl Peak House 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 provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced. Inspection activity started on 30 June 2023 and ended on 12 July 2023. We visited the service on 20 June and 5 July 2023.

What we did before the inspection

We reviewed information we had received about the home. 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.

During the inspection

We spoke with 5 staff including the registered manager and care staff. We spoke with 3 people and 2 relatives about their views of the care provided. We reviewed the care records for 4 people, numerous medicines records, 3 staff recruitment and supervision files, records related to governance systems and processes and other documentation relevant to the running of the service. 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.

Updated 2 August 2023

About the service

Pearl Peak House is a care home providing personal care to up to 30 people. The home provides support to older adults and people living with dementia. At the time of our inspection there were 12 people living at the home.

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

We found care records were not always completed or accurate. Some care plans, risk assessments and best interest decisions had not always been completed with specific details required about people’s care. Audits we looked at did not always identify the recording issues we found whilst inspecting the home.

We recommend the provider review their governance processes, to ensure record keeping is monitored effectively.

The registered manager and staff were open and honest. There was a positive staff and management culture that people living in the home and relatives had commented on. Staff were keen to learn and drive improvement to ensure people received the best possible care.

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. However, we found not all capacity assessments and best interest records had been completed when required.

We made a recommendation about record keeping for MCA and best interest decisions.

Systems were in place to safeguard people from the risk of abuse. Medicines were managed safely, and audits were carried. Risks to people were managed by staff following appropriate risk assessments. The provider carried out assessments on the home to ensure people were safe to live there. We saw staff followed infection prevention and control guidance to minimise risks related to the spread of infection. Staffing levels were sufficient to meet people’s needs and staff were recruited safely. Relatives and friends were encouraged to visit the home and spend time with their loved ones.

People’s preferences and choices were being upheld. People were offered choices during mealtimes and enjoyed the food provided in the home. The home ensured people had access to health care professionals when required.

People and relatives told us staff were kind and caring. We observed positive interactions between staff and people living in the home.

Care plans were in place to ensure people’s preferences and choices were upheld. People told us they enjoyed the activities provided within the home.

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

This service was registered with us on 14 February 2023, and this is the first inspection.

Why we inspected

We carried out an unannounced comprehensive inspection of this service on 30 June and 5 July 2023.

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.

Please see what action we have told the provider to take at the end of this report.

Follow up

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