CQC report explained · a nursing home
What the CQC found at Peel Gardens Residential and Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found enough staff, completed recruitment checks, suitable risk management and safe medicines systems. Infection control arrangements, including PPE and visiting arrangements, were also checked.
- Effective?
- Good
- Care records reflected people's needs and were reviewed regularly. Staff had training and support, and people received help with nutrition, healthcare, communication and decision-making.
- Caring?
- Good
- Staff were observed treating people with patience, respect and kindness. People and relatives said they were involved in decisions and that staff supported independence.
- Responsive?
- Good
- Care plans were personalised and included people's preferences and abilities. Inspectors found varied activities, support to maintain relationships and a complaints procedure that people knew about.
- Well-led?
- Good
- The management team used audits, surveys and other checks to monitor the home and act on issues. The manager was in the process of CQC registration at the time of the inspection.
What inspectors found, September 2022
Peel Gardens Residential and Nursing Home was rated Good; inspectors found safe, kind and personalised care, with the manager's registration still in progress.
This was the home's first planned inspection since it registered in 2020. The inspection activity ran from 18 to 23 August 2022, with a visit on 18 August. One inspector spoke with people, relatives, staff, the manager and a nurse. They also checked care, medicines, staff records, training, management records, the building and infection control.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines systems, completed recruitment checks, good training and detailed care records. People were supported with food, healthcare, communication, activities and end of life care.
People and relatives described staff as caring, respectful and available. The home was clean and used PPE appropriately. The manager was not yet registered with the CQC at the time, but an application had been submitted. Ongoing building alterations were also noted.
Safe staffing and medicines
Inspectors found enough staff to meet people's needs, robust recruitment checks and safe systems for administering and recording medicines.
“There were sufficient care and nursing staff to meet people's care and support needs.” from the report
Kind and respectful care
Staff spent time with people, listened to them and supported their dignity, choices and independence.
“Staff treated people with care, patience, respect and kindness.” from the report
Personalised support
Care plans described people's needs, preferences and abilities. Inspectors found that support was centred on each person.
“People received care and support that was centred around their individual needs and preferences.” from the report
Activities and relationships
People had access to individual and group activities, and staff encouraged important relationships with relatives and visitors.
“People were supported to follow their interests and take part in a range of activities.” from the report
Manager registration
minorThere was no registered manager in post during the inspection. The manager's registration application had been submitted and was still being processed.
“However, the manager in place was in the process of being registered by (CQC) and an application had been submitted.” from the report
Building work
minorAlterations to the first floor were still taking place and refurbishment was planned. Ask what areas are affected and when the work is expected to finish.
“At present there were ongoing alterations to the first floor of the building and a programme of refurbishment was planned.” from the report
- 01Has the manager now been registered with the CQC, and who is legally responsible for the home while registration is pending?
- 02Which parts of the first floor are affected by the building work, and how are residents being kept safe and comfortable during it?
- 03How will you assess and update my relative's care plan when their needs or preferences change?
- 04What activities would be available for my relative, based on their interests, communication needs and mobility?
- 05How would you support my relative's dietary, healthcare and end of life wishes?
This was an announced, planned first inspection covering all five CQC questions, the premises and infection control arrangements. This explanation was written from the published report of 24 September 2022 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, February 2021
Inspected but not rated; inspectors were assured that infection prevention and control arrangements kept people as safe as possible.
Inspectors visited the home on 10 February 2021. This was an announced, targeted inspection during the coronavirus pandemic.
They looked at infection prevention and control. They found enough personal protective equipment, staff training on using it, regular enhanced cleaning and hand-sanitising points around the home.
Visitors were screened, required to use protective equipment and asked to keep their distance. Inspectors were assured that the home was following appropriate infection control procedures.
The service was inspected but not rated. This visit does not provide a new overall rating or ratings for the other areas of care.
Protective equipment and cleaning
The home had a large supply of protective equipment, trained staff and regular enhanced cleaning.
“Staff wore appropriate personal protective equipment (PPE) to ensure people were protected as much as possible from the risk of cross infection.” from the report
Visitor controls
Visitors were screened on arrival and required to use protective equipment and maintain social distancing.
“They were screened for Covid 19 symptoms on arrival and were required to wear appropriate PPE and maintain social distancing during their visit.” from the report
Keeping families connected
During lockdown, the home supported people to stay in touch with relatives and friends through calls.
“The provider was supporting people to stay in contact with family and friends through regular video calls and telephone calls.” from the report
Inspectors raised no specific concerns in this report.
- 01What infection prevention and control arrangements are in place now?
- 02How are visitors currently screened and what protective equipment must they use?
- 03How does the home test people who live there and staff for infections?
- 04How would the home manage an infection outbreak?
- 05What is the home's current overall rating and what information is available about care areas not covered by this inspection?
This was a targeted inspection of infection prevention and control during the coronavirus pandemic; it was not a full inspection and the service was inspected but not rated. This explanation was written from the published report of 24 February 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 Peel Gardens Residential and Nursing Home
4 rated inspections over 8 years: the service has held its Good rating throughout.
- September 2022Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Peel Gardens Residential and Nursing Home →
- February 2021Inspected but not ratedSafe: Inspected but not rated
Read what inspectors found at Peel Gardens Residential and Nursing Home →
- August 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2020
Registered with the Care Quality Commission on 20 July 2020.
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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85 live-in carers within about an hour of Lancashire
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 £1,260 a week. 78 can care for a couple. 11 years' experience on average.
“She understands the needs of an elderly person in the early stages of dementia and has treated my mother with great kindness and skill.”
“Thanks to Tracy, Dad was always immaculately dressed and clean, his meals were all home cooked and nutritionally well balanced and his home was always kept really clean and tidy.”
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.