CQC report explained · a residential care home
What the CQC found at Peregrine House
Rated Requires improvement: inspectors found the home was not performing as well as it should and told it what to change.
What inspectors found, November 2019
Rated Good; inspectors found safe, caring and personalised support, with improvements since the previous inspection.
The inspection was unannounced and took place on 15 October 2019. Inspectors spoke with people, relatives and staff, observed care, and checked care, medicines, recruitment and management records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found people were protected from abuse, received safe medicines support, and had their health, dietary, communication and personal care needs met.
People and relatives described staff as kind, respectful and helpful. Care plans were personalised, activities were available, and people were supported to make choices and maintain their independence.
The previous rating was Requires Improvement, with multiple breaches of regulation. The report says improvements had been made and the home was no longer in breach. A Good rating means the inspection found the service was meeting the relevant standards at that time.
Improved safety systems
The home had improved its infection control and safeguarding processes since the previous inspection. Inspectors found the environment clean and safeguarding records clear.
“Since the last inspection, the provider introduced new practices to ensure the environment was clean, without malodour and safeguarded people from the risk of infection.” from the report
Safe medicines support
Staff were trained and checked as competent before giving medicines. Inspectors found medicines records were completed appropriately and medicines systems met legal requirements.
“Staff were trained, and their competency assessed before they started administering medicines.” from the report
Kind and respectful care
People and relatives said staff listened, showed respect and treated people well. Inspectors saw patient and sensitive interactions.
“At the inspection we saw meaningful interactions between people and staff.” from the report
Personalised support and activities
Care plans included people's histories, preferences and routines. People were offered activities, community trips and opportunities to remain independent.
“Each person had a life story map, this contained information about their likes, dislikes, family, religion, culture, pets, important dates, hobbies, interests, previous occupation.” from the report
Stronger management oversight
The home improved its auditing and monitoring after the previous inspection. Records showed actions were taken when problems were found.
“Since the last inspection, the registered manager had improved their monitoring and auditing checks to identify issues and gaps in infection control, premises safety, and people's care records.” from the report
Inspectors raised no specific concerns in this report.
- 01How are each person's medicines reviewed, and how do you check that staff remain competent to administer them?
- 02How will you support my relative's personal preferences, routines, communication needs and independence?
- 03What activities and community outings would be suitable for my relative, and how often could they take part?
- 04What refurbishment work was completed after the inspection, including the planned flooring and window changes?
- 05How are relatives involved in care reviews and kept informed about incidents or changes in care?
This was an unannounced planned inspection covering all five CQC questions, including both the premises and the care provided. This explanation was written from the published report of 6 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.
What inspectors found, October 2018
Rated Requires Improvement for the second time; inspectors found kind, effective and responsive care, but gaps in cleanliness, safeguarding procedures and management checks.
This was an unannounced inspection on 3 September 2018. Inspectors spoke with people, a relative, staff and a healthcare professional. They observed care and checked care plans, medicines records, staff files, rotas, accident records, complaints and management audits.
People generally felt safe and said staff were caring and there were enough staff. Inspectors found good support with people's needs, food, healthcare, choices, dignity, personalised care plans and activities systems. However, some areas and bedrooms were not clean, suitable hand-washing facilities were missing in six bedrooms, and a safeguarding concern had not been reported as required.
The overall rating was Requires Improvement. Safe and well-led were both Requires Improvement, while effective, caring and responsive were Good. The home had improved since the previous inspection, but not enough to reach Good overall. This was the second consecutive Requires Improvement rating.
Caring staff
People and relatives said staff were caring and listened to them. Inspectors observed positive interactions and found that privacy, dignity and personal choices were respected.
“People and their relatives told us staff were caring and helpful.” from the report
Staffing and risk support
Inspectors found enough suitable staff to meet people's needs safely. Risks were assessed and staff understood how to support people with those risks.
“There were sufficient and suitable staff to meet people's needs safely.” from the report
Healthcare and nutrition
People received support with food, hydration and ongoing healthcare. Staff followed advice from healthcare professionals, and people's dietary needs were shared with the kitchen.
“Staff supported people to access ongoing healthcare services to maintain healthier lives.” from the report
Infection control and cleanliness
seriousSome bedrooms, toilets and communal areas were dusty or unclean. A strong smell affected a corridor, and six bedrooms did not have appropriate hand-washing facilities.
“The provider did not always follow appropriate infection control practices and people were not always protected by the prevention and control of infection.” from the report
Safeguarding reporting
seriousThe provider did not report a safeguarding concern to the local safeguarding authorities and CQC as required. The alert was submitted after the inspection.
“However, the provider did not follow appropriate procedures to raise a safeguarding alert with the local safeguarding authorities and the CQC.” from the report
Management checks
seriousAudits did not consistently identify cleanliness, care planning and safeguarding problems found by inspectors. This resulted in a breach of the good governance regulation.
“The service lacked effective monitoring, auditing checks and systems to ensure the safety and quality of care.” from the report
Activity records and availability
needs fixingOnly bingo was offered as a group activity on the inspection day because of staff absence. Activity records were often repetitive and did not clearly show what people had done or the outcome.
“People's activities logs were mainly repetitive, staff did not accurately record whether people had participated in activities and where they had, what the outcomes were.” from the report
- 01What cleaning changes have been made, and how do you check that bedrooms, bathrooms and communal areas are cleaned properly?
- 02What hand-washing facilities are now available in every bedroom, especially the six bedrooms identified in the report?
- 03How do you make sure every safeguarding concern is reported promptly to the local safeguarding authorities and CQC?
- 04What checks now identify missing care plans, incomplete records and other risks before they affect people?
- 05How many activities are currently offered, and how do you record whether each person took part and what they enjoyed?
This was an unannounced inspection of the overall service, including care and premises, and it assessed all five CQC questions; the provider could not complete its Provider Information Return because of technical problems. This explanation was written from the published report of 19 October 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 Peregrine House
3 rated inspections over 2 years: the service has improved, from Requires improvement to Good.
- November 2019Goodcurrent ratingup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2018Requires improvementstayed Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- October 2017Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- May 2017
Registered with the Care Quality Commission on 19 May 2017.
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 Haringey
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. 75 can care for a couple. 11 years' experience on average.
“Over the time he spent with them he got to know our parents very well and became like part of the family, even joining in family celebrations.”
“Violet is a kind and positive, caring person and we are lucky and delighted to have her caring for our 96 year old grandmother.”
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.