CQC report explained · a residential care home
What the CQC found at Peacock Hay
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were supported safely, with risk assessments and support plans reviewed when needs changed. Staff were available, medicines were managed safely and the home was clean.
- Effective?
- Good
- People's needs and choices were assessed and reflected in care plans. Staff had relevant training, followed health professionals' advice and supported people to have choice and control.
- Caring?
- Good
- Inspectors observed kind and caring interactions. Staff respected people's privacy and dignity, understood their communication methods and promoted independence.
- Responsive?
- Good
- People were supported to choose activities and access the community. People and relatives were involved in care planning and reviews, and there was a complaints system.
- Well-led?
- Good
- Quality checks, action plans and feedback systems were in place. The manager and staff worked with other professionals and acted on concerns and improvements.
What inspectors found, June 2019
Rated Good in all areas; inspectors found safe, kind and personalised care, with no breaches reported.
This was an unannounced planned inspection on 14 May 2019. One inspector reviewed records, medicines, staff training and how the home was managed. They observed care, spoke with four relatives, three staff members and the manager, and contacted other professionals.
The home was providing personal care for seven people with learning disabilities. Inspectors found enough safely recruited staff, safe medicines practice, clean surroundings and support that promoted people's independence. Staff understood people's needs and supported them to make choices, communicate and take part in activities.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. This means the inspectors found the legal requirements were met and that people's outcomes were consistently good. The rating remained Good from the previous inspection published on 21 October 2016.
Safe staffing and support
Inspectors found enough staff to support people when needed, including access to the community. Staff used risk assessments while encouraging independence.
“There were enough staff available who were deployed effectively to ensure people received support when they needed it.” from the report
Kind and respectful care
Staff treated people with kindness, dignity and respect. They supported personal care privately and understood how people communicated.
“People were supported by staff in a caring and kind way.” from the report
Choice and communication
People were helped to express their choices through individualised sign language and picture cards. They could choose activities and were involved in their care.
“People made choices in how they received their care.” from the report
Personalised activities
The home supported people to take part in hobbies, trips and outings that matched their interests. Staff were matched with people who shared their interests.
“People were supported to be involved in activities that met their preferences.” from the report
Quality monitoring
The home had several checks on quality and safety. Action plans recorded improvements needed and timescales for completing them.
“There was a quality assurance/quality improvement system in place.” from the report
Manager registration was not complete
minorThere was no manager registered with the CQC at the time of the inspection. A manager was in place and was in the process of registering.
“At the time of the inspection there was not a manager registered with the Care Quality Commission.” from the report
Independence recording system still being introduced
minorA new system to assess and promote independence and daily living skills had started but was not fully implemented. Families may want to ask how this is now being used.
“These had not been fully implemented at the service but there was a plan in place to continually strive to provide an improved service for people.” from the report
- 01Has the manager now completed registration with the CQC?
- 02How is the new system for recording people's independence and daily living skills being used now?
- 03How would you support my relative to communicate choices about care and activities?
- 04How do you make sure risk assessments and support plans are updated when someone's needs change?
- 05How are relatives involved in planning and reviewing care?
This was an unannounced planned inspection covering the home, the care provided and all five CQC questions. This explanation was written from the published report of 8 June 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, December 2016
Peacock Hay is rated Good; inspectors found safe, kind and personalised care, with improvements since the previous inspection.
This was an unannounced inspection on 21 and 24 October 2016. One inspector spoke with people living at the home, relatives, staff and a visiting professional. They also observed care, reviewed three care plans, two staff files, training records and quality records.
The home supported five younger adults with learning disabilities and was registered for up to seven people. Inspectors found enough staff, safe recruitment, well-managed medicines and clear plans for managing risks. Staff supported people with health care, food, communication, decisions and activities.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. The previous inspection had identified several areas needing improvement, including staffing consistency, decision-making law, health care, complaints and leadership. Inspectors found improvements in all these areas.
Staffing and safety
Inspectors found enough staff to support people safely. Recruitment checks were completed before staff started work.
“There were enough staff to meet people's needs, and the recruitment processes ensured that staff were safe to work with people.” from the report
Choice and decision-making
Staff supported people to communicate their choices. Where people could not make particular decisions, the report found that best-interest decisions and required authorisations were in place.
“People were supported to make decisions about their care and support.” from the report
Kind relationships
Staff knew people well and treated them with kindness. People were supported to maintain relationships, privacy and independence.
“Staff supported people in a caring and kind manner, and people had developed positive relationships with them.” from the report
Personalised activities and support
People and relatives were involved in care planning. People could choose how to spend their time and staff adapted support when needs changed.
“People were involved in the planning of their care and received support that was responsive to their individual needs.” from the report
Quality monitoring
The home had systems for checking medicines, incidents, safeguarding and other areas of care. Inspectors found these were being used to support improvement.
“The service was well managed and there were systems in place to monitor the quality of the service.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you make sure there are enough consistent staff for the person I am considering?
- 02How are medicines checked and what happens if a medicines error is found?
- 03How will the person be involved in making decisions if they have limited verbal communication?
- 04How often will care plans be reviewed with the person and their family?
- 05What activities and community visits could be arranged to match the person's interests?
This was an unannounced inspection of the overall service, covering all five CQC questions and reviewing care, staffing, training and quality monitoring. This explanation was written from the published report of 2 December 2016 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 Peacock Hay
3 rated inspections over 4 years: the service has improved, from Requires improvement to Good.
- June 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2016Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2015Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- October 2013
Report published without a new overall rating.
- February 2013
Report published without a new overall rating.
- March 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 20 December 2010.
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.
Weigh the report against the rest
Fees, photos and reviews from families
How to read CQC ratings and reports
What to check when you visit
At least 100 live-in carers within about an hour of Staffordshire
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 £1,230 a week. 85 can care for a couple. 10 years' experience on average.
“We particularly appreciate the companionship Dawn gives in the evenings when she plays cards and Scrabble with my mother.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.