CQC report explained · a residential care home
What the CQC found at Peacemills Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, December 2019
Peacemills Care Home was rated Outstanding overall; inspectors found exceptionally kind, effective care, with safety and activities rated Good.
This was an unannounced inspection on 29 October 2019. Inspectors spoke with people, a relative, staff and a visiting professional. They observed care and checked care plans, medicines records, staff files and management records.
The home was rated Outstanding overall. Effective care and caring were rated Outstanding. Inspectors found highly personalised support, skilled staff, good links with health professionals, and strong respect for people's choices, dignity and independence.
Safe, responsive and well-led were rated Good. People were protected from abuse, medicines were managed safely, care plans were personalised and complaints could be raised with managers. The service had improved from an overall Good rating in 2017, with Effective and Caring rising to Outstanding and Well-led improving from Requires Improvement to Good.
Kind, personal care
Inspectors saw staff provide patient, warm and individual support. They understood people's histories, preferences and ways of communicating.
“People received exceptionally kind and effective person-centred support from staff who were motivated and led to provide the best care they could.” from the report
Strong staff training
Training included practical exercises for emergencies such as choking and resuscitation. Staff said they felt confident and capable.
“Staff received training that equipped them with the skills, knowledge and confidence they needed to support people and the conditions they lived with to the highest standards of person centred and effective care.” from the report
Good health support
The home worked closely with health and social care professionals. Inspectors found people received prompt attention when they became unwell.
“People's health care needs were met by the excellent partnership established with health and social care professionals.” from the report
Respect for choice and dignity
People were involved in decisions about their care, daily routines, appearance and food. Staff supported independence and did not rush people.
“People told us, and we observed that their care and support was never rushed and they did not feel pressured to hurry.” from the report
Personalised environment
The refurbishment included features to help people living with dementia or sensory loss recognise places and start conversations.
“They had worked hard to adapt and enhance the environment to be suitable for people living with dementia and sensory loss.” from the report
Family activities were still developing
minorInspectors said the home was working to improve opportunities for people to spend time with family and close friends. Ask what progress has been made since the inspection.
“The registered managers told us it was important for people to be able to spend time with their families or close friends, and this was an area they were working on developing and improving moving forwards.” from the report
- 01How was the refurbishment completed, and which features now support people living with dementia or sensory loss?
- 02What opportunities are now available for residents to spend time with family and close friends?
- 03How would you support my relative's particular health needs, and how do you work with GPs and other professionals?
- 04How are residents involved in decisions about their care, food, daily routines and end of life wishes?
- 05What practical training do staff receive for dementia, choking, medicines and recognising a person's deteriorating health?
This was an unannounced planned inspection covering all five CQC questions, with the previous inspection rating used for comparison. This explanation was written from the published report of 25 December 2019 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, May 2017
Peacemills Care Home was rated Good overall; inspectors found safe, kind and responsive care, but leadership required improvement.
Inspectors made an unannounced visit on 20 April 2017. They spoke with people living at the home, relatives, staff and managers. They also reviewed care records, medicines records, training records and quality checks.
The home was rated Good for safe, effective, caring and responsive care. Inspectors found enough staff, safe medicines arrangements, suitable training, support with food and health, respectful care, personalised support and social activities.
The well-led rating was Requires Improvement. There was no registered manager running the home, although a temporary manager was in post. The provider had introduced new feedback forms, but inspectors needed more time to see whether these worked. The overall rating had improved from Requires Improvement at the previous inspection in March 2016.
Staffing and medicines
Inspectors found enough staff to meet people's needs and found that medicines were given safely and as prescribed.
“People were supported by enough staff to ensure they received care and support when they needed it.” from the report
Skilled support
Staff had training, supervision and knowledge of people's care needs. Inspectors found improvements in decision-making support under the Mental Capacity Act.
“People were supported by staff who had the knowledge and skills to provide safe and appropriate care and support.” from the report
Kind and respectful care
Staff listened to people, respected their privacy and dignity, and supported them to make choices and remain independent.
“People lived in a service where staff listened to them.” from the report
Personalised activities
People were supported to follow their interests, take part in activities and access the community. The environment had features designed to help people living with dementia.
“People were supported to follow their interests and take part in social activities.” from the report
No registered manager
needs fixingA temporary manager was running the home, but the previous registered manager had not yet cancelled their registration. The provider said it planned to recruit a new registered manager.
“The provider did not have a registered manager in charge of the day to day running of the home.” from the report
Feedback system not yet tested
minorNew feedback forms had been sent to people, relatives and health professionals, but the results had not yet been fully received or analysed. Inspectors could not yet judge whether the system was effective.
“As we were unable to assess the effectiveness of the feedback forms, a further period to establish and embed the changes were needed.” from the report
- 01Who is currently responsible for the day-to-day running of the home, and is there now a registered manager?
- 02What did the feedback forms from people, relatives and health professionals show?
- 03What action was taken in response to the feedback received?
- 04How are staffing levels decided when people need one-to-one support or activities outside the home?
- 05How are care plans and risk assessments reviewed when a person's health or mobility changes?
This was an unannounced inspection of the overall service and all five quality areas, following an earlier Requires Improvement rating in March 2016. This explanation was written from the published report of 11 May 2017 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Peacemills Care Home
3 rated inspections over 4 years: the service has improved, from Requires improvement to Outstanding.
- December 2019Outstandingcurrent ratingup from GoodSafe: GoodEffective: OutstandingCaring: OutstandingResponsive: GoodWell-led: Good
- May 2017Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- June 2016Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- July 2014
Report published without a new overall rating.
- October 2013
Report published without a new overall rating.
- July 2013
Report published without a new overall rating.
- June 2012
Registered with the Care Quality Commission on 15 June 2012.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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90 live-in carers within about an hour of Nottingham
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £980 to £1,270 a week. 73 can care for a couple. 11 years' experience on average.
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