Peel Moat

Staff spent time with people, listened to their choices and supported them with compassion.

“Staff treated people with dignity and respect. We observed staff taking the time to sit and speak with people.” from the report

Staff encouraged people to move around and complete personal tasks themselves where possible.

“Staff supported people with their independence. Staff supported and encouraged people with their independence by encouraging them to move independently around the home.” from the report

People were offered group and one-to-one activities, outings and contact with the local community.

“The service had activities coordinators in place who supported people in group activities and a one to one basis.” from the report

The required checks were completed before new staff started, and staff had training for their roles.

“All necessary pre-employment checks were completed before new staff commenced work at the service.” from the report

Inspectors found a routine cleaning programme, appropriate use of protective equipment and enough supplies.

“There was a routine cleaning programme in place at the home. Visitors told us they thought the service was clean.” from the report

The passenger lift had not been fully inspected since July 2022 and was out of order during the inspection. Its failure affected meals, medicines and people's ability to use communal areas.

“The provider did not ensure safety of equipment at the service was maintained. This potentially placed people at risk of harm.” from the report

Inspectors found missing guidance and records for patches, 'when required' medicines and medicines for people with swallowing difficulties. Three medicine counts were incorrect, so inspectors could not be certain people had received the prescribed dose.

“We found three counts of people's medicines to be incorrect. This meant we could not be certain that the person had received the correct dose of their medicines as prescribed.” from the report

Audits did not identify the lift and medicines problems. Records showed that improvements were repeated in meetings without clear progress or timescales.

“Systems were not in place to effectively monitor and ensure the safety of the service.” from the report

Some records did not contain enough detail about pressure mattress checks, personal care choices, people's involvement or end of life wishes.

“Some plans lacked detail about how people would like to be supported at the end of their lives.” from the report

Some people could not come downstairs to socialise and spend their day, and some activities were reduced. Food was reported to be cold for one person before insulated bags were introduced.

“Due to the lift failure some people's opportunity to engage had been reduced.” from the report