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Pendlebury Court Care Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 13 March 2020

About the service

Pendlebury Court Care Home is a residential care home for up to 39 people which provides accommodation and personal care to older people in one adapted building. The building has two floors with communal areas on each. At the time of our inspection there were 36 people living there.

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

Risks to people’s health and wellbeing were not always assessed to ensure their needs were met in a way that protected them from harm. Learning did not always take place to ensure lessons were learnt. People received their medicines as prescribed, however the provider did not always ensure relevant guidelines were followed around storage of medicines.

People’s needs were not always assessed to ensure their needs were met by effectively trained staff. People were not always involved in meal planning and did not always have regular access to drinks throughout the day.

Governance systems were not always effective in identifying areas where quality and safety of care had been compromised.

People were not always supported to follow interests or social activities. We have made a recommendation about providing person-centred activities.

People were not always supported in a meaningful way by staff.

People were not always involved in care reviews and this practice was inconsistent. People’s communication and information needs were not consistently met. People felt able to make a complaint and felt this would be investigated, however this was not always recorded.

People were supported to have independence and make choices. There were enough staff to ensure that people's needs were met safely. People were protected from abuse and people told us they felt safe. Practices were in place to ensure prevention and control of infection protected people.

People received good outcomes for their health and wellbeing. Staff worked well with other health and social care professionals to achieve this. People were supported in an environment suitable for their needs.

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.

People’s privacy and dignity was respected. People and their relatives felt the staff were helpful and kind when interaction did occur.

Staff knew how to work with other professionals to ensure people had a comfortable and dignified death.

People, relatives and staff knew who the registered manager was and felt they were approachable. People, their relatives and visiting health and social care professionals were invited to give feedback and the provider then used this information to inform changes. The provider was transparent, open and collaborative with external agencies.

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 good (published 11 June 2018).

Why we inspected

The inspection was prompted due to concerns received about activities and staffing. A decision was made for us to inspect and examine any risks.

We have found evidence that the provider needs to make improvements. Please see the key question sections of this full report.

Enforcement

We have identified three breaches in relation to person-centred care, safe care and treatment and quality assurance at this inspection.

Please see the action we have told the provider to take at the end of this report.

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.

Inspection areas

Safe

Requires improvement

Updated 13 March 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 13 March 2020

The service was not always effective.

Details are in our effective findings below.

Caring

Requires improvement

Updated 13 March 2020

The service was not always caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 13 March 2020

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 13 March 2020

The service was not always well-led.

Details are in our well-Led findings below.