23 May 2023
During an inspection looking at part of the service
Pennington Court Nursing Home is a residential care home providing personal and nursing care to 48 people at the time of the inspection. The Registered Provider is registered to accommodate a maximum of 62 service users at Pennington Court Nursing Home. Attached to the building are 8 extra care apartments each comprising of a bedroom with attached lounge, bathroom, and kitchen area.
Pennington Court Nursing Home accommodates people over 2 floors. People who live in Ash require residential care. Willow provides support for people who require nursing care. People living in the extra care flats are provided with personal care support. Not everyone who used the housing with support service received personal care, although the contract provides for two hours support each day. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence, and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.
People’s experience of using this service and what we found
Some care intervention records were incomplete, and some evidenced contradictory information. Quality assurance processes had not highlighted or addressed issues to ensure improvements were made.
Some of the risks to people's safety and wellbeing had not been recorded, to ensure actions were put in place to protect people from harm. Recorded risk reduction measures did not always show the necessary control measures were in place.
Medicines were not always managed safely with gaps in stock checks and MAR charts. Medication was not consistently stored safely including the fridge temperatures being incorrect.
Most people and their relatives told us they were safe at the home and most people we spoke with told us they were happy living there. We observed that people were well groomed and dressed appropriately.
People were not supported to have maximum choice and control of their lives. staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (published 6th September 2021). The service remains rated requires improvement. At this inspection we found the provider remained in breach of regulations.
Why we inspected
This inspection was prompted by a review of the information we held about this service. We carried out an unannounced focused inspection of this service. Breaches of legal requirements were found. You can see what action we have asked the provider to take at the end of this full report
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
Enforcement and Recommendations
We have identified breaches in relation to safe care and treatment, need for consent and good governance at this inspection.
Please see the action we have told the provider to take at the end of this report.
Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.