CQC report explained · a nursing home
What the CQC found at Peter's Place
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from harm and abuse. Staff knew how to keep people safe and medicines were given correctly, though some medicine records needed clearer details.
- Effective?
- Good
- Staff had the right training and supported people to eat well, stay healthy, and make decisions. Care plans were personalised and involved families.
- Caring?
- Good
- People received kind and respectful care from staff who knew them well and supported their choices.
- Responsive?
- Good
- People were supported to take part in activities they enjoyed and to access the community.
- Well-led?
- Requires improvement
- Leadership was not always effective. Quality checks missed some problems and required reports were not always sent on time. The provider is introducing new systems to improve.
What inspectors found, October 2022
Rated Good overall; inspectors found safe and effective care but leadership and management need improvement.
Inspectors visited Peter's Place unannounced over several days in September and October 2022. They spoke with staff, relatives, and reviewed records to check the quality of care for 13 people living there.
They found the home provided safe and effective care. People were supported by trained staff who knew their needs well. Medicines were given safely, and people were encouraged to make choices and live as independently as possible.
However, the leadership and management of the home were not always strong. Quality checks had missed some issues, such as unclear medicine instructions and delays in sending required reports to the regulator. The provider is working on improving these areas.
Relatives felt involved and confident in the care. The home had a friendly atmosphere and good links with health professionals to support people's health.
Skilled and caring staff
Staff were trained and knew how to support people safely and respectfully.
“Staff are caring and work together as a team putting people first.” from the report
Good health support
The home worked well with health professionals to meet people's needs quickly.
“If people need to see a doctor, they get one straight away.” from the report
Person-centred care planning
Relatives were involved in care reviews and people were supported to make choices.
“I am totally involved and supported in the review process.” from the report
Safe environment
The home was clean and safe with equipment to support people's needs.
“People were supported in a safe and clean environment.” from the report
Leadership and management gaps
needs fixingQuality assurance systems did not catch all problems, such as unclear medicine instructions and late reports to the regulator.
“The provider had a quality assurance system in place. However, this had not identified the gaps we found during our inspection.” from the report
Inaccurate care records
minorSome care records had outdated or conflicting information, though staff knew the correct details.
“For one person there was a discrepancy recorded in the care records relating to dietary requirements. For another person they were recorded to have a catheter in place, however this information was no longer accurate.” from the report
- 01What steps have you taken to improve your quality assurance and management systems since this inspection?
- 02How do you ensure medicine records, especially for creams and 'when required' medicines, are clear and up to date?
- 03How do you involve families in care planning and reviews?
- 04What training do staff receive to support people with their choices and independence?
- 05How do you keep families informed if something goes wrong or if there is a complaint?
This was a comprehensive inspection covering Safe, Effective and Well-led; Caring and Responsive ratings were carried over from the last inspection. This explanation was written from the published report of 27 October 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, March 2021
Peter's Place was inspected but not rated; inspectors were assured that infection prevention and control measures were in place.
This was a planned, announced inspection on 2 March 2021. It was carried out as part of the CQC's coronavirus response and focused on infection prevention and control in the home.
Inspectors reviewed the home's policies and audit findings. They found staff understood the infection control systems and were assured about visitors, social distancing, admissions, protective equipment, testing, cleaning and managing outbreaks.
The home was inspected but not rated. This means the inspection did not give a Good, Requires improvement or Inadequate rating.
Staff understood infection control
Staff were knowledgeable about the infection prevention and control processes and systems in place.
“Staff were knowledgeable of processes and systems in place relating to infection prevention and control.” from the report
Enhanced cleaning
The provider had bought a decontamination unit during the COVID-19 pandemic and used it regularly throughout the home.
“A decontamination unit had been purchased by the provider at the beginning of the COVID-19 pandemic.” from the report
Contact with relatives
The home bought extra tablets to support people's wellbeing and contact with relatives. Staff also helped people make a celebration DVD to share at Christmas.
“The provider had purchased additional computer tablets to promote people's well-being and maintain contact with relatives.” 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 managed to prevent infections spreading?
- 03How often are cleaning and infection control checks carried out, and what happens if a check identifies a problem?
- 04How are people supported to keep in contact with relatives?
- 05What are the home's current overall ratings for Effective, Caring, Responsive and Well-led?
This was a targeted inspection of infection prevention and control under the Safe question; it did not rate the service overall or assess the other four questions. This explanation was written from the published report of 16 March 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 Peter's Place
3 rated inspections over 7 years: the service has held its Good rating throughout.
- October 2022Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- March 2021Inspected but not ratedSafe: Inspected but not rated
- April 2019Goodstayed GoodSafe: GoodEffective: GoodWell-led: Requires improvement
- April 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2014
Report published without a new overall rating.
- May 2013
Report published without a new overall rating.
- November 2012
Report published without a new overall rating.
- December 2011
Registered with the Care Quality Commission on 20 December 2011.
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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88 live-in carers within about an hour of Bedford
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. 76 can care for a couple. 12 years' experience on average.
“We can all fully relax around Nyarai and she feels like part of our family, which is no mean feat!”
“She handled the new situation in front of her with such professionalism and I felt I could trust her 100%.”
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.