22 August 2023
During an inspection looking at part of the service
Pennine Care Centre is a residential care home providing accommodation for people who require personal care to up to 64 people. The service is split into 2 units, Pennine and Moorland. Pennine supports older people, including those with dementia. Moorland is a male only unit and supports both older people and younger people, including those with mental health conditions. At the time of our inspection there were 45 people using the service.
People’s experience of using this service and what we found
We have made a recommendation around the reporting and recording of accidents and incidents to ensure consistency in staff practice.
The provider was working to improve the culture of the service to ensure staff were fully supported and understood and promoted their visions and values.
Improvements had been made to the overall cleanliness within the service and people were protected from the risk of infection. Overall, people received their medicines as prescribed, and the provider was working to support staff competency in recording of medicine administration. Plans were in place to improve guidance within care plans to ensure they were person specific. There were enough staff to meet the needs of people using the service safely. People’s long term health conditions were suitably assessed, and staff followed guidance to support people’s clinical needs. People were protected from the risk of abuse and people were supported to understand how to report concerns about safety.
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.
Governance systems were now embedded within the service and allowed the provider to maintain oversight of key risk areas. There was a focus on continuous learning and improvement and action plans were effectively used to improve people’s safety and experience. Feedback was encouraged and used to make changes within the service. Staff worked collaboratively with a range of different professionals.
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 1 September 2022) and there were breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
We received concerns in relation to the quality-of-care people were receiving, management of accidents and incidents and leadership in the service. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.
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.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
The overall rating for the service has changed to good based on the findings of this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Pennine Care Centre on our website at www.cqc.org.uk.
Recommendations
We have made a recommendation in relation to accident and incident recording. Please see the safe section of this report for full details.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.