CQC report explained · a nursing home
What the CQC found at Pexton Grange
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found that risks were assessed and managed, there were enough suitably recruited and trained staff, and medicines were handled safely.
- Effective?
- Good
- No rating was given for this question in this inspection. The report says the home worked with NHS therapy staff on rehabilitation and supported people to make choices.
- Caring?
- Good
- No rating was given for this question in this inspection. People told inspectors that staff were kind and caring.
- Responsive?
- Good
- No rating was given for this question in this inspection. The report says people and relatives were asked for feedback and visitors were welcomed.
- Well-led?
- Good
- Inspectors found a positive and open culture, regular quality checks, clear procedures and good partnership working with NHS therapy staff.
What inspectors found, January 2024
Rated Good; inspectors found people were safe, well supported and cared for by a well-led home.
This was an unannounced inspection on 5 December 2023. Inspectors spoke with 13 people, 8 staff members, 2 relatives and 3 visiting professionals. They also reviewed care, medicines, recruitment and management records.
The home was rated Good overall. Safe was rated Good. Inspectors found that risks were assessed, medicines were managed safely, there were enough staff and infection prevention measures were suitable.
Well-led was also rated Good. Inspectors found an open culture, regular checks on quality and opportunities for people, relatives and staff to give feedback. The home worked with NHS therapy staff to support rehabilitation.
The previous overall rating was Good, published in December 2018. This inspection found that the Safe and Well-led ratings had remained Good.
People felt safe
People, relatives, professionals and staff told inspectors that people were safe. The home had systems for assessing risks and learning from accidents and incidents.
“All relatives, professionals and staff contacted said they felt people in the service were safe.” from the report
Enough trained staff
Inspectors found enough staff to meet people's needs. Recruitment checks had been completed, training was up to date and the home had maintained a consistent staff team.
“There were enough staff employed to meet people's needs.” from the report
Medicines managed safely
Medicines were stored, given and recorded appropriately. Staff had medicines training and their competence was checked.
“People received their medicines safely and as prescribed.” from the report
Open management
People, relatives and staff could give feedback through surveys and meetings. The home used this feedback and regular audits to make improvements.
“There was a positive culture which was person-centred, open and inclusive.” from the report
Good partnership working
The home worked with NHS therapy staff to support people using the intermediate care service with rehabilitation and regaining independence.
“The service worked in partnership with NHS therapy staff to support people's rehabilitation.” from the report
Inspectors raised no specific concerns in this report.
- 01How will you assess and manage my relative's particular risks and update their care plan?
- 02Which staff would care for my relative, and how do you maintain a consistent staff team?
- 03How will you support my relative if they need rehabilitation or NHS therapy?
- 04How are relatives told about feedback from surveys and meetings, and what improvements have resulted?
- 05How will you make sure my relative's medicines are given and recorded safely?
This inspection rated Safe and Well-led only; the report does not give new ratings for Effective, Caring or Responsive. This explanation was written from the published report of 5 January 2024 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 2022
Inspected but not rated; inspectors found good infection control, safe visiting arrangements and clean premises.
This was an announced, targeted inspection on 10 February 2022. Inspectors looked mainly at infection prevention and control, visiting arrangements and whether COVID-19 staffing pressures affected the home.
Inspectors found suitable arrangements for visits, including COVID-19 testing for visitors. Staff had infection control training, used personal protective equipment correctly and had enough equipment available. COVID-19 testing was carried out for staff and residents.
The home was clean and staff followed regular cleaning schedules. Inspectors were assured about infection control, admissions, testing, PPE, visiting and managing outbreaks. The service was inspected but not rated, so this report does not give an overall quality rating.
Visits and relationships
The home supported residents to keep in touch with relatives and friends, including through visits in the home and local community.
“The service had a suitable system in place to support people to maintain important relationships with their relatives and friends.” from the report
Staff infection control training
Staff had training on infection risks and how to use PPE correctly. Inspectors observed staff wearing suitable PPE.
“Staff had received training about how to keep people safe from the risk of infection and how to use personal protective equipment (PPE) correctly.” from the report
COVID-19 testing
Testing was being carried out for both residents and staff in line with government guidance.
“Tests for COVID-19 were being carried out in line with government guidance, by both staff and people living in the service.” from the report
Clean premises
The home was clean, with regular cleaning schedules and suitable cleaning products.
“The premises were clean. Staff followed cleaning schedules to ensure all areas of the home were regularly cleaned.” from the report
Inspectors raised no specific concerns in this report.
- 01How are visitors currently tested and supported to visit residents safely?
- 02How do you make sure staff have up-to-date infection control training and enough PPE?
- 03How are COVID-19 tests currently arranged for residents and staff?
- 04What measures are in place if COVID-19 causes staffing pressures?
- 05How do you prevent or manage infection outbreaks, and when was the infection prevention and control policy last updated?
This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19 staffing pressures; the service was inspected but not rated and the other care questions were not assessed. This explanation was written from the published report of 22 February 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.
Every inspection of Pexton Grange
3 rated inspections over 6 years: the service has improved, from Requires improvement to Good.
- January 2024Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2022Inspected but not ratedSafe: Inspected but not rated
- December 2018Goodup from Requires improvementSafe: GoodWell-led: Good
- December 2017Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- January 2016
Registered with the Care Quality Commission on 26 January 2016.
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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Most charge £1,020 to £1,270 a week. 76 can care for a couple. 11 years' experience on average.
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