Background to this inspection
Updated
16 November 2019
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 Care Act 2014.
Inspection team
This inspection was carried out by one inspector and one 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
Pennine Care Centre is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We spoke with ten people who use the service and two of their relatives about their experience of the care provided. We spoke with twelve members of staff including the registered manager and deputy manager, we also spoke with a healthcare professional who regularly visits the service. 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 a range of records. This included seven people’s care records and multiple medication records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including governance and audit frameworks were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records.
Updated
16 November 2019
About the service
Pennine Care Centre is a residential care home providing accommodation and personal care to up to 64 people. At the time of the inspection there were 39 people living there. There are two units, Pennine and Moorland Suite. Pennine is for older people, including people living with dementia. Moorland Suite is a male only unit and supports older and some younger people with mental health conditions.
People’s experience of using this service and what we found
A wide variety of activities were provided, these were designed to be relevant to people’s interests. People told us they enjoyed the activities and did not get bored. Staff knew which relationships were important to people and supported them to maintain these. People and their representatives played an active role in planning and reviewing care.
People told us they were cared for staff who were kind, caring, patient and compassionate. Staff and people enjoyed each other’s company and many pleasant, meaningful interactions were seen. People were supported to be as independent as they could be, with some people going out daily.
The two separate units of the home were decorated and designed differently to meet the needs and preferences of the people who lived there. There was a variety of communal areas for people to enjoy spending time alone, with family or in the company of the other people who lived there. These included a pub, a dementia café, a hairdressing salon, a barbers shop, a gaming area and a secure pleasant garden.
The registered manager proactively assessed and managed risks to people’s safety. Staff understood safeguarding procedures and were confident they could recognise potential signs of abuse. There were enough staff on duty to keep people safe and provide companionship. People received their medicines as prescribed.
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.
The service had a positive culture that was person-centred, open, inclusive and empowering and achieved good outcomes for people. The provider had clear and effective governance arrangements. The registered manager retained oversight of all areas of the service by completing regular audits and analysis of all areas of care planning and delivery. People, relatives and staff all spoke highly of a fair, approachable and supportive management team who led by example.
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 was Requires Improvement (published November 2018).
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
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.