Background to this inspection
Updated
27 May 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 on day 1 of the inspection, and 1 inspector on day 2 of the inspection. 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
Pennine View 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. Pennine View 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 not a registered manager in post. A new manager had been in post for 2 months and had submitted an application to register. We are currently assessing this application.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used all this information to plan our inspection.
During the inspection
We spoke with 9 people who used the service and 6 of their relatives. We spoke with 12 members of staff including the nominated individual, manager, deputy manager, senior carers, care staff and cook. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We spent time observing staff supporting and interacting with people. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
We reviewed 3 people’s care records and 3 staff files in relation to recruitment. We reviewed records relating to the management of the service including policies and procedures, audits, quality monitoring and health and safety.
Updated
27 May 2023
About the service
Pennine View is a residential care home providing accommodation for persons who require personal care to up to 50 people. The service provides support to older people and those living with dementia or a physical disability. At the time of our inspection there were 30 people using the service. Pennine View is a single, adapted building spread over 3 floors. At the time of our inspection, the 3rd floor was not being used.
People’s experience of using this service and what we found
People were safeguarded from the risk of abuse. Referrals had been made to the local authority where required and staff received safeguarding training. Medicines were managed effectively, and people received their medicines as prescribed. There were enough staff to support people and they had been recruited to the service safely. Risks relating to people and the environment were assessed and monitored frequently and infection prevention and control was managed effectively.
The provider’s working practice was in line with the mental capacity act. People were supported to maintain control of their lives and applications to deprive people of their liberty were made when needed. People had person-centred care plans and their needs and choices were assessed and promoted. They were supported with food and fluids and staff had received sufficient training to undertake their duties. Dementia friendly orientation aids were in place and the home was bright, clean and airy.
People were supported by knowledgeable and compassionate staff, who respected their needs and preferences. People and their relatives praised the staff approach and the delivery of care, which was person-centred and respected people’s privacy and independence. People were able to express their views on the care they received and were able to provide feedback and suggest ideas for improvements.
People were engaged in activities and interests that were meaningful to them and complaints and concerns were managed effectively. People’s communication needs were met, and staff communicated with people sensitively and considerately. End of life care was assessed in detail and the manager ensured people's end of life needs and preferences were met.
The manager was passionate and committed to partnership working, learning lessons and driving improvement. People and their relatives were engaged in the running of the home and praised the manager for the positive impact they had on the service provided. Quality monitoring systems were robust, detailed and effective, and staff understood their responsibilities well. The manager had instilled an open and positive culture, with a strong focus on continuous learning and development.
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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 2 September 2022 and this is the first inspection.
Why we inspected
The inspection was prompted in part due to concerns received about medicines, accidents and incidents, staffing, quality of care and safeguarding. A decision was made for us to inspect and examine those risks. We found no evidence during this inspection that people were at risk of harm from these concerns. Please see the safe, effective and well-led sections 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.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.