CQC report explained · a residential care home
What the CQC found at Peppard House
Rated Outstanding: inspectors found the home performing exceptionally well.
- Safe?
- Good
- Inspectors found people were protected from abuse and risks were assessed and managed. Staff were suitably trained and medicines were given safely, although there were some issues with the complexity and quantity of medicine records.
- Effective?
- Good
- Staff had training and support to meet people's complex needs. Health needs, nutrition, consent and legal safeguards were addressed through detailed support plans and links with health professionals.
- Caring?
- Good
- Staff were kind, compassionate and respectful. They understood people's personalities, communication methods, privacy, dignity, relationships and individual choices.
- Responsive?
- Outstanding
- The home adapted quickly to changing needs and worked hard to support people's aspirations, independence and preferred activities. Care plans and communication systems were highly personalised.
- Well-led?
- Outstanding
- Inspectors found committed leadership, an open culture and strong involvement from people, families and staff. Audits, reviews and feedback were used to maintain and improve the service.
What inspectors found, June 2018
Peppard House was rated Outstanding overall; inspectors found highly personalised, responsive care and strong leadership, with some medicine-record issues to review.
The CQC made an unannounced visit on 03 May 2018. One inspector reviewed information from the provider, previous inspection records and notifications. They looked at records for four people, spoke with people, relatives, staff and professionals, and observed care.
The home provides care without nursing for up to seven people with learning disabilities and related needs, including autism and behavioural difficulties. Inspectors found people were safe, supported by suitable staff and given effective care. Staff were kind, respectful and understood people's individual communication and support needs.
The strongest findings were about responding to people and how the home was run. Care was described as exceptionally person-centred, flexible and focused on people's goals, choices and independence. The home was rated Outstanding for Responsive and Well-led, and Good for Safe, Effective and Caring.
The overall rating improved from Good at the previous inspection in February 2016 to Outstanding. Inspectors noted some issues with the complexity and quantity of medicine records, which the registered manager said would be reviewed.
Highly personalised care
Care plans were detailed, current and tailored to each person's communication, needs, preferences and goals.
“People had highly personalised care plans which ensured care was tailored to meet their individual and diverse needs and was truly person centred.” from the report
Supporting goals and independence
Staff worked creatively to help people achieve important ambitions and develop skills, including visits, activities and everyday independence.
“The staff worked very hard to help people to achieve their goals and aspirations.” from the report
Kind and respectful staff
Staff built strong relationships with people and supported their privacy, dignity, communication and important relationships.
“People continued to be provided with sensitive and compassionate support by a kind, committed and caring staff team.” from the report
Strong leadership and improvement
The management team involved people, families and staff in running the home and used audits and feedback to improve care.
“Continued, exceptionally good governance of the service benefitted people who lived there because it ensured the quality of care was maintained and enhanced.” from the report
Medicine records
minorInspectors found some issues with the complexity and quantity of medicine administration records, including how medicines prescribed when necessary were recorded. The registered manager said the system would be reviewed.
“There were some issues with the complexity and quantity of medicine administration records” from the report
- 01What changes were made after the inspection to simplify medicine records and record medicines prescribed when necessary?
- 02How are daily staffing levels decided when people's needs or planned activities change?
- 03How would staff communicate with my relative if they used sounds, pictures, symbols or another individual communication system?
- 04How are people and families involved in reviews, decisions and changes to care?
- 05What activities and opportunities would be available to help my relative build independence and pursue their own interests?
This was an unannounced inspection covering all five CQC questions, with records for four people reviewed and information gathered from people, relatives, staff and professionals. This explanation was written from the published report of 7 June 2018 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 Peppard House
2 rated inspections over 2 years: the service has improved, from Good to Outstanding.
- June 2018Outstandingcurrent ratingup from GoodSafe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Outstanding
- March 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2014
Report published without a new overall rating.
- March 2013
Report published without a new overall rating.
- February 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 8 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.
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At least 100 live-in carers within about an hour of Reading
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 £1,010 to £1,270 a week. 86 can care for a couple. 12 years' experience on average.
“The quality of life that she's given my parents has been priceless. The peace of mind she's given my sisters and I, through a very difficult time, has been invaluable.”
“I can truly say that Peter always put Dad at the centre of everything and I know that they found a great friendship in difficult times.”
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.