Peel Moat

Updated 23 March 2024

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

The inspection team consisted of 2 inspectors.

Service and service type

Peel Moat is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Peel Moat is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

The first day of the inspection was unannounced.

What we did before the inspection

We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used information we had received about the service since their last inspection. We used all this information to plan our inspection.

During the inspection

We reviewed records relating to the running of the service including care plans and medication administration records. We spoke with 6 staff including the registered manager and deputy manager. We spoke with 3 people using the service and 2 relatives.

Updated 23 March 2024

About the service

Peel Moat is a residential care home providing accommodation with personal care to up to 31 people. The service provides support to older people with dementia. At the time of our inspection there were 28 people using the service.

All communal areas are located on the ground floor. People’s bedrooms are across 3 floors.

People’s experience of using this service and what we found

The provider had not followed guidance and did not have appropriate checks in place to maintain the safety of the passenger lift at the service. Some improvements to the environment at the service had been made however; overall improvements were slow and took significant time to implement. Audits and management meetings did not always recognise areas for improvement or drive those improvements.

Staff were recruited safely. Medicines were not always managed safely. The home appeared clean throughout. We found a cleaning product in an unlocked cupboard. This was moved during the inspection. Staff had completed training to support them in their role.

Staff supported people to maintain their independence, particularly around their mobility. Staff supported people in a kind and caring way.

The service had engaged with people and their families around concerns raised about the lift. Care plans showed personalisation however they lacked detail in end of life care planning. People were supported and encouraged to engage in activities within and outside the home.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (published 29 December 2017).

Why we inspected

This inspection was prompted by a review of the information we held about this service. You can see what action we have asked the provider to take at the end of this full report. The provider addressed the concerns around the lift following the inspection.

We have found evidence that the provider needs to make improvements. Please see the safe and well-led sections of this full report.

Enforcement and Recommendations

We have identified breaches in relation to provider oversight, health and safety and the safe management of medicines.

Please see the action we have told the provider to take at the end of this report.

Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.