CQC report explained · a nursing home
What the CQC found at Peel House Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found that risks were assessed and reviewed, medicines were managed safely, infection controls were in place and there were enough staff to meet people’s needs.
- Effective?
- Good
- This key question was not inspected during this focused visit. Its rating was carried over from the previous inspection.
- Caring?
- Good
- This key question was not inspected during this focused visit. The report says staff treated people with dignity and respect, but the rating was carried over from the previous inspection.
- Responsive?
- Good
- This key question was not inspected during this focused visit. Its rating was carried over from the previous inspection.
- Well-led?
- Good
- Inspectors found effective audits, clear staff responsibilities, open management and evidence that the home was learning from incidents and making improvements.
What inspectors found, April 2023
Rated Good; inspectors found safe, kind care and stronger management after the previous Requires Improvement rating.
This was an unannounced focused inspection on 30 March 2023. Inspectors spoke with people, relatives, staff and health and social care professionals. They observed care and reviewed care records, medicines records, staff files and management records.
The home was rated Good for Safe and Well-led. Inspectors found people felt safe, risks were assessed, medicines were managed safely and there were enough staff. Care was kind and respectful, and people’s care plans were person-centred.
The home had improved since the previous inspection, when it was rated Requires Improvement. Management systems were now working effectively, and the earlier breach about reporting significant incidents to CQC was no longer present.
This inspection covered Safe and Well-led only. The overall Good rating also used ratings from the previous inspection for the other areas.
People felt safe
People told inspectors they felt safe, and staff understood how to recognise and report abuse.
“People told us they felt safe at Peel House Nursing Home and staff knew them well” from the report
Safe medicines and risk management
Risk assessments gave staff clear instructions, and medicines records matched stock balances. Medicines were stored safely.
“Medication records were complete and matched stock balances.” from the report
Kind and respectful care
Staff supported people in a kind and compassionate way. Inspectors found that people’s dignity, rights and choices were respected.
“Staff interacted with people in a kind and considerate manner, treating them with dignity and respect.” from the report
Improved management
Management audits and action plans gave leaders better oversight of the home. Inspectors found that the earlier regulatory breach had been addressed.
“Improvements had been made and quality assurance systems were operating effectively.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you make sure care records and risk assessments are updated promptly when my relative’s needs change?
- 02How will you keep family communication reliable, including updates about changes in my relative’s health or care?
- 03How do you check that staffing levels and staff skills remain suitable for people’s nursing, dementia or mental health needs?
- 04What has the home learned from recent incidents, and how have those lessons changed care?
- 05How can relatives see the results of surveys and the actions taken in response to feedback?
This was a focused inspection of Safe and Well-led only; the ratings for Effective, Caring and Responsive were carried over from the previous inspection. This explanation was written from the published report of 22 April 2023 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, November 2019
Rated Requires Improvement; inspectors found kind, responsive care, but safeguarding reports and management checks were not always reliable.
This was an unannounced follow-up inspection over three days. Two inspectors spoke with people, a relative, staff and a visiting professional. They reviewed care plans, medicines records, recruitment files, supervision records and management documents.
People said they felt safe and were happy living in the home. Staff were kind and caring. People received support with food, activities and health appointments. However, some safeguarding incidents were not reported to the local authority or CQC. Medicines records, recruitment checks, complaints records and risk assessments also needed improvement.
The overall rating was Requires Improvement. Effective, caring and responsive care were rated Good. Safe and well-led were rated Requires Improvement. The home had improved since the previous inspection and was no longer in breach of the three earlier regulations, but a new breach was found for failing to report significant incidents. This was the fifth consecutive Requires Improvement rating.
Kind and respectful staff
People and relatives spoke positively about staff. Inspectors saw staff showing warmth, understanding and kindness, while respecting privacy and dignity.
“People and their relatives told us they were well treated and supported.” from the report
People had choice
Staff asked for consent, offered choices about daily life and involved people or relatives in care decisions.
“People were supported to have maximum choice and control of their lives” from the report
Personalised care and activities
Staff knew people well and care plans included their preferences and support needs. People could join activities, including reminiscence, exercise and choir practice.
“Throughout the inspection staff demonstrated that they knew people well” from the report
Improvement since the last inspection
The home improved its care planning, mental capacity processes and responsiveness. The three earlier breaches were no longer present at this inspection.
“At this inspection we found the service had improved and was no longer in breach of those three regulations.” from the report
Safeguarding incidents not reported
seriousSeveral incidents, including unexplained bruises and one person hitting another with an object, were not reported to the local authority or CQC. This meant other agencies could not monitor the incidents or help develop protection plans.
“The failure of the provider to carry out its statutory duty to complete notifications of significant incidents and send them to CQC was a breach of Regulation 18” from the report
Weak management checks
needs fixingThe provider's audits did not identify all the problems found by inspectors. This included issues with risk management, recruitment, complaints and records of creams.
“The auditing system was not robust in that it had failed to identify all areas requiring improvement” from the report
Medicines records had gaps
needs fixingThere were gaps in records for topical creams, including after the home moved to an electronic system. Inspectors could not be sure that all creams had been given as prescribed.
“This meant we could not be assured that people had received their topical creams as prescribed.” from the report
Some safety records lacked detail
needs fixingSome risk assessments did not explain what staff should do if a risk occurred. Emergency evacuation plans did not give enough detail for night-time evacuation.
“risk assessments did not always contain information to guide staff what to do if the risk occurred.” from the report
End of life training
needs fixingOnly some staff had completed end of life care training at the inspection. CQC recommended approved training so enough trained staff would be available when needed.
“We recommend that the provider seeks approved training on end of life care for staff.” from the report
- 01How do you now make sure every safeguarding concern, including unexplained bruising, is reported to the local authority and CQC?
- 02What checks now make sure topical creams are recorded accurately every time they are given?
- 03How have you improved recruitment checks, especially following up gaps in employment history?
- 04What changes have been made to risk assessments and personal emergency evacuation plans, including plans for evacuating people at night?
- 05How many staff have now completed end of life care training, and how do you ensure trained staff are available when needed?
This was an unannounced responsive inspection to follow up action from the previous inspection, and it covered all five key questions, while also checking whether earlier breaches had been addressed. This explanation was written from the published report of 15 November 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.
Every inspection of Peel House Nursing Home
6 rated inspections over 6 years: the service has improved, from Requires improvement to Good.
- April 2023Goodcurrent ratingup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2019Requires improvementstayed Requires improvementSafe: Requires improvementWell-led: Requires improvement
- February 2019Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- July 2018Requires improvementstayed Requires improvementSafe: GoodWell-led: Requires improvement
- December 2017Requires improvementstayed Requires improvementSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- March 2017Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- May 2014
Report published without a new overall rating.
- June 2013
Report published without a new overall rating.
- February 2013
Report published without a new overall rating.
- December 2012
Registered with the Care Quality Commission on 31 December 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.
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
26 live-in carers within about an hour of Hampshire
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 £1,020 to £1,260 a week. 23 can care for a couple. 14 years' experience on average.
“I cannot recommend Prisca highly enough, she is one in a million.”
“He stayed with her throughout the pandemic, refusing to visit his own family, who lived nearby, to reduce the risk of infection.”
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.