Background to this inspection
Updated
3 February 2022
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
As part of CQC’s response to the COVID-19 pandemic we are looking at how services manage infection control and visiting arrangements. This was a targeted inspection looking at the infection prevention and control measures the provider had in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.
This inspection took place on 21 January2022] and was announced. We gave the service 24 hours' notice of the inspection.
Updated
3 February 2022
About the service: Pendene House is a care home providing personal care and accommodation for up to 17 people, some of whom have dementia and/or mental health needs. There were 15 people living at the service at the time of our inspection.
People’s experience of using this service:
People felt safe living at Pendene House and felt safe with the staff team who supported them.
The registered manager and staff team understood their responsibilities for keeping people safe from abuse and avoidable harm. Training in the safeguarding of adults had been provided and the staff team knew what to do should they be worried about someone.
Risks associated with people’s care and support had been assessed and managed.
People received their medicines in a safe way and as prescribed. Staff members responsible for supporting people with their medicines, had their competency checked on a regular basis.
New members of staff were appropriately recruited and there were suitable numbers of staff available to meet people’s needs in a safe and timely way. The staff team had the knowledge they needed to enable them to meet people’s needs.
The staff team adhered to the provider’s infection control policy. People were provided with a clean and comfortable place to live and there were appropriate spaces to enable people to either spend time on their own, or with others.
The registered manager ensured lessons were learned when things went wrong and was continually improving the service.
People’s needs had been assessed and plans of care developed. The staff team knew the care and support needs of the people they were supporting.
People were supported to eat and drink well and a balanced diet was offered. Healthcare professionals were involved in people’s care when needed.
People were involved in making decisions about their care and support whenever possible and their consent was always obtained.
People were supported to have the maximum choice and control of their lives and staff supported them in the least restrictive way possible; the polices and systems in the service supported this practice.
The staff team ensured people’s privacy and dignity were maintained and they treated people with kindness and respect. People’s wishes at the end of their life were explored.
A formal complaints process was displayed explaining what people should do, should they have a concern of any kind.
Systems were in place to monitor the quality and safety of the service being provided.
People, their relatives and staff were involved in how the service was run through meetings, the use of surveys and day to day conversations with the registered manager and the staff team.
The registered manager worked in partnership with others to ensure people received safe care and support.
More information is in the full report.
Rating at last inspection: Good (report published 14 October 2016) all the key questions were rated Good except Well Led, which was rated requires improvement.
Why we inspected: This was a planned inspection based on the previous rating.
Follow up: Going forward we will continue to monitor this service and plan to inspect in line with our re-inspection schedule for those services rated Good.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk