Peel House

Updated 16 June 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This was a comprehensive inspection. It took place on 24 May 2018 and was carried out by one inspector. The inspection was unannounced.

Before the inspection we reviewed other information we held about the service, including previous inspection reports and notifications sent to us by the provider. Notifications are information about specific important events the service is legally required to send to us. We also looked at information in the Provider Information Return (PIR). This is a form that asks the provider 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 one person using the service, four members of staff, the registered manager and a visiting health professional. After the inspection we spoke with one stakeholder and two relatives of people using the service. We reviewed three people's care and support records and three staff files. We also looked at records relating to the management of the service such as incident and accident records, meeting minutes, recruitment and training records, policies, audits and complaints.

Updated 16 June 2018

Peel House is a residential care home for 8 people with complex learning and physical needs. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

At our last inspection we rated the service Good. At this inspection we found the evidence continued to support the rating of Good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

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Staff knew how to protect people from avoidable harm and abuse. Support plans contained risk assessments and plans provided clear guidance for staff on how to keep people safe. Relatives of people using the service said they were confident their loved ones were safe. The service followed safe recruitment practices. Medicines were managed safely.

Staff were trained to carry out their roles. All of the staff we spoke with said they felt well supported by the registered manager. Staff remained knowledgeable about the requirements of the Mental Capacity Act. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

Staff interactions with people using the service were positive and caring. Staff demonstrated respect for the people they supported. People using the service were relaxed and responded positively to staff. We saw and heard lots of smiling, laughter and singing. Feedback about staff included, “The staff are very friendly, helpful and smiley” and “The staff are really good. They bend over backwards for people.”

Support plans were person centred and very detailed about people’s choices and preferences. People had access to a range of activities within the local community. There was a complaints process in place. No complaints had been received. The service had received positive feedback from people using the service and their relatives.

Staff spoke highly of the registered manager. The values of the provider were embedded in the day to day running of the service. There was a friendly and supportive atmosphere throughout the building. There were robust quality assurance processes in place.

Further information is in the detailed findings below.