30 June 2023
During a routine inspection
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.