Peter's Place

Updated 27 October 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

This inspection was conducted by one inspector, a medicine inspector 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

Peter’s Place is a ‘care home’. People in care homes receive accommodation and nursing.

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.

Inspection activity started on 22 September 2022 and ended on 12 October 2022. We visited the location’s service on 22 September 2022 and 27 September 2022.

What we did before the inspection

We used information gathered as part of monitoring activity that took place on 16 September 2022 to help plan the inspection and inform our judgement. 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 (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We completed observations of care to help us understand the experience of people who could not talk with us. We spoke with seven relatives about their experience of the care provided. We spoke with 12 members of staff including the provider, registered manager, quality improvement manager, service support manager, deputy manager, senior nurse, registered nurses, activity staff and care staff.

We reviewed a range of records. This included six people’s records and 10 people's medication records. We looked at four staff members files and one agency staff file in relation to recruitment. A variety of records relating to the management of the service were also reviewed. These included training records, incident and accident records and quality assurance processes.

Updated 27 October 2022

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.

About the service

Peter’s Place is a 'care home' providing personal and nursing care to 13 people at the time of the inspection. The service can support up to 13 people. Each person has their own bedroom and ensuite, some of which have a shower facility. In addition, people can access shared living areas including a sensory room, a spa bathroom, a shower room, dining areas and a lounge. A garden is at the rear of the property which is accessible to people living at Peter’s Place and their visitors.

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

Right Culture:

A quality assurance system was in place however, this had not addressed all shortfalls identified at this inspection. The provider told us they had developed a new quality assurance system which was planned to be implemented at the service.

Relatives were involved in the care planning and review process. The provider promoted engagement with external professionals where required to ensure people had care which was tailored to their needs.

Right Support:

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. Staff understood the value and importance of providing care which was dignified and respectful. One staff member said, "Staff are caring and work together as a team putting people first."

People were supported in a safe and clean environment. People were encouraged to personalise their rooms. A wheelchair accessible lift was in place to enable all people living at the service access to shared living areas.

Staff had received training and applied their skills and knowledge to provide safe care. Medicines were administered by trained staff.

The activity co-ordinator was passionate about their role and motivated people to access activities of their choice. People were supported by the staff team to access the community and pursue personal interests.

Right Care:

Staff had received training on how to recognise and report abuse. People received care which was kind and caring. People were supported by skilled staff who knew them well and were aware of people’s needs and preferences.

There were enough appropriately skilled staff to support people safely. Staff were aware of how people communicated and supported them to make decisions and choices.

People’s care plans and risk assessments provided guidance and information to support people safely, providing strategies for staff to de-escalate distressing situations for people.

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 good (published 11 April 2019).

Why we inspected

This inspection was prompted by a review of the information we held about this service.

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.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Peter’s Place 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.