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CQC report explained · a nursing home, run by Brancaster Care Homes

Pexton Grange

Pexton Road, Sheffield, S4 7DA

Goodpublished 5 January 2024, 2 years ago

Rated Good: inspectors found the service performing well and meeting their expectations.

The five questions inspectors ask
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.
The latest report, explained

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.

What inspectors praised

  • 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
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How will you assess and manage my relative's particular risks and update their care plan?
  2. 02Which staff would care for my relative, and how do you maintain a consistent staff team?
  3. 03How will you support my relative if they need rehabilitation or NHS therapy?
  4. 04How are relatives told about feedback from surveys and meetings, and what improvements have resulted?
  5. 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.

The story over the years

Every inspection of Pexton Grange

3 rated inspections over 6 years: the service has improved, from Requires improvement to Good.

  1. January 2024Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Pexton Grange →

  2. February 2022Inspected but not rated
    Safe: Inspected but not rated

    We are reading this report · the original is on cqc.org.uk

  3. December 2018Goodup from Requires improvement
    Safe: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. December 2017Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. January 2016

    Registered with the Care Quality Commission on 26 January 2016.

Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.

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