All inspections: Pennine View - Care Quality Commission

Date of assessment 29 January and 10 February 2025. Pennine View is a ‘care home’ providing personal care and support to people over 18. At the time of the assessment, the service was supporting 38 people with their personal care needs. Pennine View was last rated ‘Good’ (published 13 April 2023. The report was published following CQC’s previous ]inspection approach using key lines of enquiry (KLOEs), prompts and ratings characteristics. This assessment has been completed following the Care Quality Commission (CQC) current approach to assessment; Single Assessment Framework (SAF). We undertook this assessment following concerns relating to the effective management of the home.

At this assessment we found risks were not always identified, documented and escalated to management for action. Improvements were required to audit, and quality systems and medicines were not always safely managed.

Where people did not have capacity, all necessary actions had been carried out under the Mental Capacity Act including making appropriate applications under the Deprivation of Liberty Safeguards (DoLS) if required.

Safe recruitment processes were in place. However, staff did raise concerns that there were not always enough staff to meet people’s needs. The provider had assessed people’s needs and felt staffing levels were suitable. We observed staff were able to meet people’s needs.

People were treated with kindness and compassion. Staff protected their privacy and dignity. They treated people as individuals and supported their preferences. People were supported to maintain relationships with family and friends. Staff were aware of their responsibilities to raise concerns with the safeguarding authorities if they felt people were at risk of harm or abuse. Information on safeguarding was available to people and those who were important to them, so they could raise concerns externally if they wished to do so.

The provider ensured people could access external health professionals if the need arose and information was appropriately provided to support continuity of care.

We identified 2 breaches of regulation relating to safe care and treatment and good governance. We have asked the provider for an action plan in response to the concerns found at this assessment.

We have asked the provider for an action plan in response to the concerns found at this assessment.

About the service

Pennine View is a residential care home providing accommodation for persons who require personal care to up to 50 people. The service provides support to older people and those living with dementia or a physical disability. At the time of our inspection there were 30 people using the service. Pennine View is a single, adapted building spread over 3 floors. At the time of our inspection, the 3rd floor was not being used.

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

People were safeguarded from the risk of abuse. Referrals had been made to the local authority where required and staff received safeguarding training. Medicines were managed effectively, and people received their medicines as prescribed. There were enough staff to support people and they had been recruited to the service safely. Risks relating to people and the environment were assessed and monitored frequently and infection prevention and control was managed effectively.

The provider’s working practice was in line with the mental capacity act. People were supported to maintain control of their lives and applications to deprive people of their liberty were made when needed. People had person-centred care plans and their needs and choices were assessed and promoted. They were supported with food and fluids and staff had received sufficient training to undertake their duties. Dementia friendly orientation aids were in place and the home was bright, clean and airy.

People were supported by knowledgeable and compassionate staff, who respected their needs and preferences. People and their relatives praised the staff approach and the delivery of care, which was person-centred and respected people’s privacy and independence. People were able to express their views on the care they received and were able to provide feedback and suggest ideas for improvements.

People were engaged in activities and interests that were meaningful to them and complaints and concerns were managed effectively. People’s communication needs were met, and staff communicated with people sensitively and considerately. End of life care was assessed in detail and the manager ensured people's end of life needs and preferences were met.

The manager was passionate and committed to partnership working, learning lessons and driving improvement. People and their relatives were engaged in the running of the home and praised the manager for the positive impact they had on the service provided. Quality monitoring systems were robust, detailed and effective, and staff understood their responsibilities well. The manager had instilled an open and positive culture, with a strong focus on continuous learning and development.

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.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

This service was registered with us on 2 September 2022 and this is the first inspection.

Why we inspected

The inspection was prompted in part due to concerns received about medicines, accidents and incidents, staffing, quality of care and safeguarding. A decision was made for us to inspect and examine those risks. We found no evidence during this inspection that people were at risk of harm from these concerns. Please see the safe, effective and well-led sections of this full report.

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.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.

Pennine View

All Inspections

During an assessment under our new approach

13 April 2023

During a routine inspection