Pennine Care Centre

Updated 22 September 2023

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 Health and Social Care Act 2008.

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

This inspection was carried out by 2 inspectors and an Expert by Experience. 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

Pennine Care Centre is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Pennine Care Centre is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

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. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 7 people who use the service and 15 relatives about the care. We spoke with 1 professional who works with the service. We spoke with 10 staff, including the nominated individual, registered manager, business manager, care managers, care workers and domestic assistants. The nominated individual is responsible for supervising the management of the service on behalf of the provider. Not everybody using the service could speak with us, so we carried out observations of communal areas. We reviewed a range of records. This included 12 people's care records, multiple medicine administration records and records relating to the management of the service, including policies and procedures.

Updated 22 September 2023

About the service

Pennine Care Centre is a residential care home providing accommodation for people who require personal care to up to 64 people. The service is split into 2 units, Pennine and Moorland. Pennine supports older people, including those with dementia. Moorland is a male only unit and supports both older people and younger people, including those with mental health conditions. At the time of our inspection there were 45 people using the service.

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

We have made a recommendation around the reporting and recording of accidents and incidents to ensure consistency in staff practice.

The provider was working to improve the culture of the service to ensure staff were fully supported and understood and promoted their visions and values.

Improvements had been made to the overall cleanliness within the service and people were protected from the risk of infection. Overall, people received their medicines as prescribed, and the provider was working to support staff competency in recording of medicine administration. Plans were in place to improve guidance within care plans to ensure they were person specific. There were enough staff to meet the needs of people using the service safely. People’s long term health conditions were suitably assessed, and staff followed guidance to support people’s clinical needs. People were protected from the risk of abuse and people were supported to understand how to report concerns about safety.

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.

Governance systems were now embedded within the service and allowed the provider to maintain oversight of key risk areas. There was a focus on continuous learning and improvement and action plans were effectively used to improve people’s safety and experience. Feedback was encouraged and used to make changes within the service. Staff worked collaboratively with a range of different professionals.

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

Rating at last inspection and update

The last rating for this service was requires improvement (published 1 September 2022) and there were breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

We received concerns in relation to the quality-of-care people were receiving, management of accidents and incidents and leadership in the service. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

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.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

The overall rating for the service has changed to good based on the findings of this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Pennine Care Centre on our website at www.cqc.org.uk.

Recommendations

We have made a recommendation in relation to accident and incident recording. Please see the safe section of this report for full details.

Follow up

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