Penerley Lodge Care Centre

Updated 26 July 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by 1 inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Penerley Lodge Care Centre is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Penerley Lodge Care Centre is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

The first day of the inspection was unannounced. The provider knew we would be returning to continue the inspection on the second day of the inspection.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. This included notifications of significant incidents reported to the CQC and the previous inspection report. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.

We contacted the local authority commissioning and safeguarding teams to support our planning. We used all of this information to plan our inspection.

During the inspection

We spoke with the registered manager, the administrator, the head of care, 3 healthcare assistants, the chef and the activities coordinator. We spoke with 6 people and 2 relatives of people who used the service and reviewed 5 people’s care and medicine records. We looked at five staff files and various records relating to the quality and safety of the service.

We continued to seek clarification from the provider to validate evidence found after the inspection. We looked at samples of policies and procedures and quality assurance records.

We provided formal feedback to the registered manager and the nominated individual via email on 7 June 2023.

Updated 26 July 2023

About the service

Penerley Lodge Care Centre is a care home which provides accommodation and personal care to up to 28 people aged 65 and over, including people living with dementia, in one adapted building. At the time of our inspection 28 people were living at the home.

People’s experience of using this service

People told us they felt safe and we found risks to people’s health and wellbeing were identified and effective measures were in place to mitigate these. People’s medicines were managed safely. There were safe procedures in place to reduce the risks associated with infectious diseases. There were enough staff on duty to keep people safe and respond to people’s needs.

The provider had made improvements to the décor and layout of the building to promote people’s comfort and sensory needs. People’s healthcare needs were met as the staff worked well with other health and social care professionals. The provider was making improvements to the quality and choice of food and the overall mealtime experience.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People received person-centred care from well trained staff that knew them well. There were a range of activities on offer within the home to help keep people active and stimulated. People’s religious and cultural needs were being met.

We received positive feedback from people receiving care, relatives, staff and professionals about the culture of the service and the overall management. One relative told us, “The staff make the residents very comfortable. They look after people very well there.” Everyone we spoke with praised the registered manager’s approach. The registered manager conducted a range of quality assurance checks to ensure safety and quality was maintained.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection:

The last rating for this service under the previous provider was requires improvement (published 15 February 2022).

Why we inspected

The inspection was prompted in part due to concerns we received about the management of the service, including issues with the environment and the availability of food for people receiving care. A decision was made for us to inspect and examine those risks. As this is the first inspection of the service since the change of provider we inspected all key questions.

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.

Recommendations

We have made a recommendation about reviewing the provision of external activities and opportunities to engage in the community.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.