This inspection took place on 27 April 2018 and was unannounced. This was a first ratings inspection.

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.