CQC report explained · a residential care home
What the CQC found at Pear Tree House
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found personalised risk assessments, enough suitably trained staff, safe medicines management and appropriate infection control measures. Staff understood safeguarding and how to respond to risks or incidents.
- Effective?
- Good
- People's needs were assessed with their families and health professionals. Staff were trained and supported, and people were helped with food, healthcare, consent and developing independence.
- Caring?
- Good
- People were treated with kindness, dignity and respect. Staff knew people's preferences and supported them to make choices, maintain privacy and work towards greater independence.
- Responsive?
- Good
- Care plans were detailed, regularly reviewed and focused on each person's needs, choices and goals. People were supported with communication, relationships, activities, complaints and life skills.
- Well-led?
- Good
- Inspectors found an open and supportive management culture, effective quality checks and good partnership working. Two notifications had not been sent to CQC as required, but this was corrected during the inspection.
What inspectors found, August 2021
Rated Good in all five areas; inspectors found safe, kind and person-centred care, with two late CQC notifications corrected during the inspection.
This was the first inspection since the home registered in 2019. Two inspectors visited on 30 June and 1 July 2021. They met two people, observed care, spoke with staff and reviewed care, medicines, staffing, training, maintenance and quality records. They also received feedback from relatives and health professionals.
The home supports up to five people with autistic spectrum disorders and learning disabilities. Four people lived there at the time. Inspectors found that people were safe, treated with dignity and supported to make choices, build independence and take part in activities. Staff knew people well and followed detailed plans, including positive behaviour support plans.
Inspectors found Good care in Safe, Effective, Caring, Responsive and Well-led. Medicines, staffing, infection control, food, healthcare and complaints systems were all found to be managed well. Two required notifications had not been sent to CQC promptly, but they were sent during the inspection.
Choice and independence
People were supported to control their daily lives, make choices and develop practical skills for greater independence.
“The model of care and setting maximised people's choice, control and independence.” from the report
Staff understanding
Staff knew people's preferences, anxieties and triggers. Positive behaviour support plans gave staff clear and consistent guidance.
“Positive behaviour support plans provided clear guidance for staff which ensured people received consistent, person centred care.” from the report
Safe medicines
Medicines were stored, administered and recorded safely. Staff had training and regular competency checks.
“Medicines were safely managed, stored, administered and disposed of safely.” from the report
Home-like setting
The environment was described as friendly and homely, with personalised bedrooms and comfortable shared areas.
“Bedrooms were highly personalised and decorated to people's individual taste.” from the report
Strong management
Relatives, staff and health professionals gave very positive feedback about the management and the open culture.
“There were robust quality assurance systems in place to drive improvement and ensure the home offered a safe, effective, caring and responsive service.” from the report
Late CQC notifications
needs fixingTwo notifications that should have been sent to CQC had not been sent promptly. The home explained the reason and submitted both during the inspection.
“Two of these had not been sent to CQC as required by the regulations.” from the report
- 01How do you make sure required notifications are sent to CQC straight away?
- 02How are positive behaviour support plans reviewed when a person's needs, anxiety or triggers change?
- 03How do you check that all staff understand the electronic medicines system and remain competent to administer medicines?
- 04What staffing levels are in place now, and how often is bank staff cover used?
- 05How will my relative be involved in decisions about daily routines, activities, community access and personal goals?
This was a planned first inspection covering all five key questions, including infection prevention and control measures during the COVID-19 pandemic. This explanation was written from the published report of 3 August 2021 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 Pear Tree House
Each visit the CQC has published, newest first, back to the day the home was registered.
- August 2021Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2019
Registered with the Care Quality Commission on 8 August 2019.
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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37 live-in carers within about an hour of Bournemouth, Christchurch and Poole
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 £1,000 to £1,340 a week. 26 can care for a couple. 11 years' experience on average.
“We could not have managed without her calm, reassuring presence and practical knowledge and skill in caring and supporting both my husband and the family and I.”
“I cannot recommend Prisca highly enough, she is one in a million.”
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.