CQC report explained · a residential care home, run by White Pearl Care
White Pearl House
3 Vincent Court, Blackburn, BB2 4LD
Rated Good: inspectors found the service performing well and meeting their expectations.
What inspectors found, December 2023
Rated Requires Improvement; inspectors found kind and responsive care, but serious safety, medicines, consent and management failures led to warning notices.
Inspectors visited on 21 and 22 November 2023. They spoke with one person using the home, three relatives and seven staff. They also checked the building, medicines, care records, recruitment, incidents, policies and quality checks.
The home was caring and responsive. People were treated with dignity, offered choices and supported to stay in touch with relatives and take part in activities. Staffing, recruitment, cleanliness and infection control had improved.
However, risks were not always identified or managed. Medicines were not always stored or given safely. Some consent records, capacity assessments and care plans were missing or incomplete. The provider's checks did not find or fix these problems.
The overall rating was Requires Improvement. Safe, Effective and Well-led were also Requires Improvement. Caring and Responsive were rated Good. The home remained in breach of regulations from the previous inspection, and CQC issued warning notices for safety and governance.
Kind, respectful care
People were treated with dignity and respect. Staff supported choice, control and independence.
“People were treated well, and their individuality was respected.” from the report
Enough staff
Inspectors saw enough staff to meet people's needs without rushing. Recruitment checks had been completed before staff started work.
“During our inspection, we observed sufficient staff were deployed to meet people's needs and people received support in an unrushed and timely manner.” from the report
Relationships and activities
The home helped people keep in touch with relatives and take part in activities suited to their interests.
“People were supported to maintain relationships, follow their interests and take part in activities that were relevant to them.” from the report
Infection control
Inspectors found improvements since the previous inspection. The home was clean and had enough protective equipment.
“People were protected from the risk of infection as staff were following safe infection and control practices.” from the report
Safety risks
seriousAn upper-level window could be opened wide enough for someone to climb out. Risk assessments, emergency evacuation plans and fire drills were missing or incomplete.
“We found a window above ground level that did not have a window restrictor in place.” from the report
Medicines
seriousInstructions for some medicines were incomplete, creams were not always recorded properly and the medicines room was too warm. Audits had not found these problems.
“Medicines were not always managed and stored safely.” from the report
Consent and capacity
seriousConsent forms and capacity assessments were not always recorded. Some conditions attached to restrictions had not been met, and CCTV consent and signage were missing until inspectors raised this.
“Consent to care forms were either not always in place or not always signed.” from the report
Inaccurate care records
needs fixingSome support plans did not accurately describe people's current needs or how to respond if their health changed. Oral health records also needed updating.
“Care records were not always person centred as they did not include accurate information on how to safely care for people.” from the report
Weak management checks
seriousThe provider's audits did not identify or address the problems found. There was also limited evidence that lessons were learned after incidents.
“The provider did not have an effective management structure and did not monitor the quality of care provided in order to drive improvement.” from the report
- 01What has been done to fit the window restrictor and provide emergency evacuation plans and regular fire drills?
- 02How are medicines now stored, temperature-checked and recorded, including as-required medicines, variable doses and topical creams?
- 03How do you make sure every person's capacity assessment, consent form and best-interest decision is complete and reviewed?
- 04How have support plans been updated to reflect current risks, health needs, oral health and what staff should do if health deteriorates?
- 05What independent checks now confirm that audits identify problems and that lessons are learned after incidents?
This inspection looked at all five CQC questions, the building and care provided, and followed up concerns and actions from the previous inspection. This explanation was written from the published report of 30 December 2023 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 White Pearl House
2 rated inspections over a year: the service has held its Requires improvement rating throughout.
- December 2023Requires improvementcurrent ratingstayed Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- January 2023Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- June 2021
Registered with the Care Quality Commission on 17 June 2021.
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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