The inspection took place on 9 & 10 January 2017and was unannounced.

Located near Southport town centre, Peacehaven Care Home provides accommodation and personal care for up to 55 people. Shared areas include two dining rooms, three lounges and a conservatory on the ground floor. A lift is available for access to the upper floors. There is an enclosed extensive garden to the rear of the building and parking to the front. A call system operates throughout the home. There were 54 people living in the home on the day of our inspection.

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.

Medicines were managed safely in the home.

Risk assessments had been undertaken to support people safely and in accordance with their individual needs.

The staff we spoke with described how they would recognise abuse and the action they would take to ensure actual or potential harm was reported.

Safety checks of the environment and equipment were completed regularly.

There were enough staff on duty to provide care and support to people living in the home.

The provider had robust recruitment procedures in place to ensure staff were suitable to work with vulnerable adults.

Staff worked in partnership with health and social care professionals to make sure people received the care and support they needed.

Staff were trained to ensure that they had the appropriate skills and knowledge to meet people’s needs. They were well supported by the registered manager.

Staff sought the consent of people before providing care and support. The home followed the principles of the Mental Capacity Act (2005) for people who lacked mental capacity to make their own decisions.

People told us they liked the food and were able to choose what they wanted to eat.

People told us the staff had a good understanding of their care needs and people’s individual needs and preferences were respected by staff.

Care plans provided information to inform staff about people's support needs, routines and preferences.

People told us staff were kind, polite and maintained their privacy and dignity. We observed positive interaction between the staff and people they supported.

A programme of activities was available for people living at the home to participate in.

A process for managing complaints was in place. People we spoke with knew how to raise a concern or make a complaint.

Feedback we received from people, relatives and staff was complimentary regarding the registered manager’s leadership and management of the home.

Staff told us there was an open and transparent culture in the home. Relatives said the home had a ‘family atmosphere’ to it.

People living in the home and relatives told us they were able to share their views and were able to provide feedback about the service.

Systems and processes were in place to assess, monitor and improve the safety and quality of the service.

We carried out an unannounced comprehensive inspection of this service on 11 & 12 August 2015, at which breaches of legal requirements were found in relation to management of medications, safe care and treatment, staffing, fit and proper persons employed, person centred care and governance.

After the comprehensive inspection, the provider wrote to us to say what they would do to meet legal requirements in relation to the breach. We undertook a focused inspection on the 12 February 2016 to check that they had followed their plan and to confirm that they now met legal requirements.

This report only covers our findings in relation to these topics. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for ‘Peacehaven’ on our website at www.cqc.org.uk’

Located near Southport town centre, Peacehaven provides accommodation and personal care for up to 55 people. Shared areas include two dining rooms, three lounges, and a conservatory on the ground floor. A lift is available for access to the upper floors. There is an enclosed garden to the rear of the building and parking to the front. A call system operates throughout the 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.

During our last inspection in August 2015 we found there was lack of individual assessment around the risk of falls. During this inspection we looked at individual falls risk assessments for people who lived at the home, and found the management of the risk relating to this was much improved and people were better protected against these risks

We found that the risks associated with the administration of medications was improved.

Staff recruitment procedures were robust and all relevant recruitment checks had been undertaken before staff started work.

We saw that staff were up to date with mandatory training.

We saw that people received support from other medical professionals when needed, and had their care provided in way which was meaningful to them.

There were audits in place to monitor the concerns identified at our last inspection, and we saw during this inspection the provider had made significant improvements to their auditing systems.

We considered all the evidence we had gathered under the outcomes we inspected. We used the information to answer the five questions we always ask;

Is the service safe?

Is the service effective?

Is the service caring?

Is the service responsive?

Is the service well led?

This is a summary of what we found-

Is the service safe?

People who lived in the care home were cared for in an environment that was safe,clean and hygienic. Equipment at the home had been well maintained and serviced regularly. This meant people were kept safe and their welfare protected.

All staff members had undergone the appropriate checks before starting work at Peacehaven Care Home. We checked the staff training matrix and noted all staff had completed safeguarding training. We spoke to several staff who told us they would report any issues related to safeguarding to the manager without delay.

Deprivation of Liberty Safeguards (DoLS) become important when a person is judged to lack the capacity to make an informed decision related to their care and treatment. The Care Quality Commission (CQC) monitors the use of DoLS. The provider had submitted an application for a DoLS recently and was awaiting confirmation. When completed we were told, "I will inform CQC immediately."

Is the service effective?

People who lived at the care home told us they were happy with the care and support they received. This meant their needs were being met. We observed staff members in communal areas and it was clear they had a good understanding of individual people`s needs.

One person told us, "We are well looked after here - my family are happy I am here." Another person told us, "It`s beautiful here - the food is marvellous." People`s needs were taken into account with signage and the layout of the care home.

Is the service caring?

We spent time in communal areas during our inspection. We observed staff members who were very patient with people who lived in the care home. Staff took time to listen and understand people`s different communication styles, particularly those with limited verbal communication.

People`s needs and choices had been recorded in care plans and their support was provided in accordance with people`s wishes. People and their families were involved in annual satisfaction surveys and any issues were addressed without delay.

Is the service responsive?

All people living at Peacehaven care home had their individual needs assessed before moving into the care home. One person told us, "I go to the meetings every three months and if we have any problems we discuss them and tell the manager."

People had access to activities that were important to them which included their cultural needs. Church services were held weekly at the care home. People living in the care home were also encouraged and supported to maintain relationships with friends and family if they so wished.

Is the service well-led?

Peacehaven care home had a quality assurance system in place, which included both internal and external audits. There were also regular surveys conducted for people who lived in the home and staff members. This meant the quality of care provided continued to improve.

Staff members told us they were clear about their roles and responsibilities. One staff member told us, "We always manage here - there are never any problems." The provider told us, "We always have residents on the panel when we are interviewing for new staff." This meant the people who lived in the home had an input into who was employed at the care home and who provided their care and support.

As part of our inspection we spent time with 10 people and invited them to share with us their views and experience of living at Peacehaven. We also spent time with a relative who was visiting the home at the time of our inspection.

People who were living at the home told us staff were respectful of their choices. One person said, “They [staff] don’t tell us when to get up or go to bed. I go can to bed at whatever time I want.” The people we spent time with were aware of their care needs and said staff discussed their care with them, particularly if there were any changes. We heard one person say, “They [staff] can’t do enough for me and they tell me what is happening.”

Care records informed us that assessments and care plans had been developed for each person and these were reviewed consistently each month.

Arrangements were established for ensuring the environment was clean, safe and well maintained. We found that effective staff recruitment processes were in place.

During our inspection of the home we spent time with people and invited them to share with us their views and experience of living at the home. We also spoke with relatives who were visiting at the time of our inspection. One person living there said “I like living here. I get what I need and the food is great.” Another person said they had “No complaints about this place. It’s not home but the next best thing, and the food is great.”

A visitor told us that their relative, who lived at the home, described the home as like living independently but with help available. The relative also said that staff listened to their input about care needs. We heard that staff encouraged people to be as independent as possible. A relative told us “It is like a hotel and the catering is excellent.”

People informed us that the staffing levels were good and staff responded promptly to both verbal requests and to call bells.

People said there were a number of activities arranged for them and they could choose whether to get involved or not. One person told us of quizzes, fairs and outings which had been arranged during the last year.

The people we spoke with were aware of what to do if they had any concerns. One person said ”I would go straight to the top and see the manager.” Another person said they could also go to any of the Trustee committee members who visit the home regularly.

The inspection took place on 9 & 10 January 2017and was unannounced.

Located near Southport town centre, Peacehaven Care Home provides accommodation and personal care for up to 55 people. Shared areas include two dining rooms, three lounges and a conservatory on the ground floor. A lift is available for access to the upper floors. There is an enclosed extensive garden to the rear of the building and parking to the front. A call system operates throughout the home. There were 54 people living in the home on the day of our inspection.

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.

Medicines were managed safely in the home.

Risk assessments had been undertaken to support people safely and in accordance with their individual needs.

The staff we spoke with described how they would recognise abuse and the action they would take to ensure actual or potential harm was reported.

Safety checks of the environment and equipment were completed regularly.

There were enough staff on duty to provide care and support to people living in the home.

The provider had robust recruitment procedures in place to ensure staff were suitable to work with vulnerable adults.

Staff worked in partnership with health and social care professionals to make sure people received the care and support they needed.

Staff were trained to ensure that they had the appropriate skills and knowledge to meet people’s needs. They were well supported by the registered manager.

Staff sought the consent of people before providing care and support. The home followed the principles of the Mental Capacity Act (2005) for people who lacked mental capacity to make their own decisions.

People told us they liked the food and were able to choose what they wanted to eat.

People told us the staff had a good understanding of their care needs and people’s individual needs and preferences were respected by staff.

Care plans provided information to inform staff about people's support needs, routines and preferences.

People told us staff were kind, polite and maintained their privacy and dignity. We observed positive interaction between the staff and people they supported.

A programme of activities was available for people living at the home to participate in.

A process for managing complaints was in place. People we spoke with knew how to raise a concern or make a complaint.

Feedback we received from people, relatives and staff was complimentary regarding the registered manager’s leadership and management of the home.

Staff told us there was an open and transparent culture in the home. Relatives said the home had a ‘family atmosphere’ to it.

People living in the home and relatives told us they were able to share their views and were able to provide feedback about the service.

Systems and processes were in place to assess, monitor and improve the safety and quality of the service.