White Pearl Residential Care

Updated 23 November 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

The inspection was undertaken by an 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

White Pearl Residential Care 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. White Pearl Residential Care is a care home without 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.

What we did before the inspection

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. We reviewed information we held about the service. We used all this information to plan our inspection.

During the inspection

We spoke with nine people who used the service. We spoke with the registered manager and two care staff.

We reviewed a range of records including two care plans and multiple medication records. We looked at two staff files in relation to recruitment. A variety of records relating to the management of the service, including policies and procedures were reviewed. We received feedback from a healthcare professional and they have given permission for their comments to be included in this report.

Updated 23 November 2022

About the service

White Pearl Residential Care is a residential care home providing accommodation and personal care to up to 18 people. The service provides support to people with mental health issues including paranoid schizophrenia and substance misuse. At the time of our inspection there were 17 people living at the service.

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

People were safe living at the home. One person said, “I feel really safe. Staff look after you, making a future for you”. Staff had completed training on safeguarding and understood the signs of potential abuse. There were sufficient trained staff on duty to meet people’s needs. People received their medicines as prescribed.

People were supported with a healthy lifestyle and with a healthy diet. Some people enjoyed preparing their lunchtime meal. One person said, “The food is great here; I love the food”. People had access to a range of health and social care professionals. 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.

People were looked after and supported by kind, caring staff who knew them well. The atmosphere in the home was calm and relaxed. People were encouraged to be as independent as possible. They were treated with respect and dignity.

People were involved in all aspects of their care, including decision making and their aspirations for the future. Complaints were dealt with informally and people told us they had never had to make a complaint.

People spoke highly of the way the home was managed. One person said, “The management is good. The owner is a nice person and the lady looking after us is clever and has good ideas. This place is just naturally good, sociable”. A system of audits was used to monitor and measure the service overall and to drive improvement. People’s feedback was obtained and all was positive in the records we reviewed.

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

The last rating for this service was requires improvement (published 1 February 2021) and there were breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

We undertook this targeted inspection to check whether the Warning Notice we previously served in relation to Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 had been met. The provider did not have robust systems in place to monitor the service and drive improvement.

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.

The overall rating for the service has changed from requires improvement to good based on the findings of this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for White Pearl Residential Care on our website at www.cqc.org.uk.

Enforcement

At the last inspection we recognised that the provider had failed to notify CQC of all incidents of abuse or allegation of abuse in relation to people. This was a breach of Regulation 18 of the Care Quality Commission (Registration) Regulations and we issued a Fixed Penalty Notice. The provider accepted a fixed penalty and paid this in full.

Follow up

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