Pear Tree Lane

Pear Tree Lane is a care home for people who may have a learning disability or autism. The service was registered for up to 13 people; 13 people lived there at the time of our inspection.

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

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

Right Support:

Risks were assessed and managed to ensure people could safely participate in activities that they enjoyed. People’s representatives told us people were supported safely.

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. People were able to receive visitors without restrictions in line with best practice guidance.

Right Care:

People were safeguarded from abuse and avoidable harm. There were sufficient numbers of staff and staff supported people in line with their individual preferences and agreed care plans.

People were protected from the risk of infection as staff followed safe infection prevention and control practices. Medicines were mostly managed in a safe manner.

Right Culture:

There was a positive and open culture at the service and systems were in place to provide person-centred care. People’s representatives and staff were involved in the running of the service and the provider worked in partnership with others to achieve good outcomes for people.

The quality of care was monitored and lessons were learned when things had gone wrong.

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 26 June 2018).

Why we inspected

This inspection was prompted by a review of the information we held about this service. We completed a focused inspection to review safe and well-led only.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Pear Tree Lane on our website at www.cqc.org.uk.

Recommendations

We have made 2 recommendations in relation to the storage of prescribed creams and the process of seeking feedback from relatives.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.

Pear tree lane is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Pear tree lane accommodates up to 13 people in three adapted buildings. At the time of the inspection there were 13 people living in the care home.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People were protected from abuse. Risks were assessed and managed to keep people safe. Premises and equipment were maintained to minimise the risk of infection. People were supported by sufficient safely recruited staff. Medicines were managed safely. The registered manager had systems in place to learn when things went wrong.

People’s needs were assessed and they had effective care plans in place. Staff received training to meet people’s needs and supported people consistently. People were able to choose what they had to eat and drink and were supported safely. The environment was adapted to meet the needs of people. People had support to maintain their health and wellbeing. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People were supported by staff that were kind and caring and had good relationships with people. People had their communication needs assessed and care plans were in place which supported people to make choices and retain their independence. People were treated with dignity and respect.

People had their preferences understood by staff, assessments of their diverse needs were carried out and plans put in place to meet them. People had regular reviews of their needs and could take part in things which were of interest to them. People could make a complaint and there was a system in place to investigate these. People had their wishes for end of life care considered.

People and their relatives were asked for their feedback. We found systems in place to check on the quality of the service people received and the provider used information from these to make improvements. The registered manager had systems in place to monitor the delivery of people’s care.