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Inspection Summary


Overall summary & rating

Good

Updated 18 April 2018

This inspection took place on 12 and 13 February 2018 and was unannounced.

Pentlands Nursing Home 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. Pentlands Nursing Home is registered to provide accommodation and care for up to 32 older people. The service provided care to 27 people at the time of the inspection. Pentlands Nursing Home is a large detached building with accommodation on two floors and a passenger lift to all the floors. All bedrooms are single and each has an suite bathroom or en suite toilet. There are also communal bathrooms on each floor. Each bedroom has a ceiling track hoist to people can be moved without the need for a mobile hoist. Communal lounge and a dining room are also provided. people have access to outside space in the garden.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Pentlands Nursing Home is a care home with nursing services and is registered to provide accommodation and care for up to 32 older people. Pentlands Nursing Home is a large detached building with accommodation on two floors and a passenger lift to all the floors. The service provided care to 27 people at the time of the inspection.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

People’s views were sought as part of the service’s quality assurance process and changes were made following comments from people. There were a number of audits and checks on the safety and quality of the services provided. Whilst these were comprehensive we identified one area where this needed to be in more detail to ensure adequate checks on safety were maintained. We have made a recommendation about this.

People and their relatives said they felt the service was safe. Staff were trained in safeguarding procedures and had a good awareness of the importance of protecting people. Risks to people were assessed and action taken to mitigate these.

Medicines were safely managed. Sufficient numbers of staff were provided and checks were made on the suitability of new staff to work in a care setting. The service was clean and hygienic. Reviews of care and incidents took place often in conjunction with local primary medical teams so improvements could be made.

People’s health care needs were assessed and any medical needs followed up.

Staff were provided with a range of training including an induction for newly appointed staff and nationally recognised qualifications in care. Staff were encouraged and supported to enhance their skills and knowledge. The service had links with a local college which provided training.

People’s nutritional needs were met. Nutritious and varied meals were provided and people were able to choose their meals. Specialist diets were provided such as for people living with diabetes or those whose needs meant they were not able to chew or swallow food easily.

The premises were well maintained and adapted for those with mobility needs such as ramped areas for wheelchair users and track hoists in all bedrooms so people could be lifted without the need for a mobile hoist.

Where people did not have capacity to consent to their care and treatment this was assessed

Inspection areas

Safe

Requires improvement

Updated 18 April 2018

The service has deteriorated to Requires Improvement. Whilst the premises were safe action had not been taken to ensure people were always safe whilst building works were carried out. We have made a recommendation about this.

Effective

Good

Updated 18 April 2018

The service has improved to Good.

As recommended by the previous inspection report improvements have been made regarding care plan details regarding people’s capacity to consent. Also as recommended by the last inspection report the calculation of percentage weight loss or gain was found to be have been implemented.

Caring

Good

Updated 18 April 2018

The service remains Good.

Responsive

Good

Updated 18 April 2018

The service remains Good.

Well-led

Good

Updated 18 April 2018

The service remains Good.