• Care Home
  • Care home

Pennington Court Nursing Home

Overall: Requires improvement

Hunslet Hall Road, Beeston, Leeds, West Yorkshire, LS11 6TT (0113) 228 4040

Provided and run by:
Westward Care Limited

Latest inspection summary

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Background to this inspection

Updated 4 September 2021

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.

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 first day of inspection was carried out by two inspectors and a specialist advisor. The specialist advisor had expertise in end of life care. The second day of inspection was carried out by three inspectors and an Expert by Experience. A second Expert by Experience contacted relatives and people in the housing with support complex remotely. 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

Pennington Court is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. This service also provides care and support to eight people living in specialist ‘extra care’ housing. Extra care housing is purpose-built or adapted single household accommodation in a shared site or building. The accommodation is rented and is the occupant’s own home. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for extra care housing; this inspection looked at people’s personal care and support service.

Notice of inspection

This inspection was unannounced. The inspection activity started on 27 May 2021 and ended on 24 June 2021. We visited the location on 27 May 2021 and 10 June 2021.

What we did before 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. We used all of this information to plan our inspection.

During the inspection

We spoke with nine people living at the service and three people over the telephone who lived in the extra care section. We spoke with eight relatives over the telephone about their experience of the care provided. We spoke with several members of staff including the provider, operations director, registered manager, deputy manager, clinical lead, care workers, domestic staff and the chef. We observed care in the communal areas to help us understand the experience of people who could not talk with us.

We reviewed a range of records. This included nine people’s care records and multiple medication records. We looked at staff files to check how staff had been recruited into the service. We reviewed a variety of records relating to the management of the service, including policies and procedures. Offsite we continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We spoke with two professionals who regularly visit the service.

Overall inspection

Requires improvement

Updated 4 September 2021

About the service

Pennington Court Nursing Home is a residential care home providing personal and nursing care to 47 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 eight extra care apartments each comprising of a bedroom with attached lounge, bathroom and kitchen area.

Pennington Court Nursing Home accommodates people over two floors. People who live in Ash require residential care. Willow provides support for people who require registered nurses to provide their care and treatment. 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.

People’s experience of using this service and what we found

The quality of care had deteriorated since our last inspection and this service was no longer considered to be providing outstanding care. Some care intervention records were incomplete and contained gaps to evidence care had been provided. 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. Care plans often contained conflicting information, and information in people's rooms did not contain information about how to manage all of their clinical needs. We were not assured infection control measures were consistently managed in line with current best practice. Some communal areas required de-cluttering and deep cleaning.

Medicines were managed safely. Staff involved in handling medicines had received recent training around medicines and had their competencies assessed. The application of cream records was inconsistently recorded.

Most people and their relatives told us they were safe at the home and people we spoke with told us they were happy living there. People were well groomed, and the hairdresser attended on both days of our inspection. We received positive feedback from the advanced nurse practitioner attached to the GP surgery. They told us the service was very proactive when a person’s needs had changed and obtained the services of the relevant health professionals.

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 Outstanding (Published 10 October 2018).

Why we inspected

The inspection was prompted in part due to concerns received about how the service managed complaints and in relation to end of life care. A decision was made for us to inspect and examine those risks. As a result, we undertook a focused inspection to review the key questions of safe, responsive and well-led only. Ratings from previous comprehensive inspections for those key questions not inspected against were used in calculating the overall rating at this inspection.

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.

The overall rating for the service has changed from outstanding to requires improvement. This is based on the findings at this inspection. We have found evidence that the provider needs to make improvement. Please see the safe, responsive and well-led sections of this full report. You can see what action we have asked the provider to take at the end of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Pennington Court Nursing Home on our website at www.cqc.org.uk.

Follow up

We will request an action plan for 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 return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.