You are here

Pennington Court Nursing Home Requires improvement

Inspection Summary

Overall summary & rating

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

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 prov

Inspection areas


Requires improvement

Updated 4 September 2021

The service was not always safe.

Details are in our Safe findings below



Updated 4 September 2021



Updated 4 September 2021


Requires improvement

Updated 4 September 2021

The service was not always responsive.

Details are in our Responsive findings below


Requires improvement

Updated 4 September 2021

The service was not always well-led


Details are in our Well-led findings below