The Care Quality Commission (CQC) has rated Pennine Care Centre, Glossop, inadequate and placed it in special measures following an inspection in February.
CQC inspected the home, which cares for older people living with dementia as well as younger people with mental health conditions, as part of its regular checks on services. At the time of the inspection, 57 people were using the service.
Following the inspection, the home’s overall rating dropped from good to inadequate, and it was placed in special measures.
It was also rated inadequate for being safe, caring and well-led following the latest inspection, but was not assessed for being effective or responsive to people’s needs.
Natalie Reed, CQC head of adult social care inspection, said:
“Our inspection of Pennine Care Centre found people were not receiving high standards of care which they have a right to expect, or consistent treatment for their medical conditions.
“We found people were not treated with dignity and respect or offered adequate choice about their care.
“A resident who required support dressing was wearing dirty clothes, and people did not always receive the right bedding, such as blankets or duvets, even after this was requested.
“People’s designated loved ones could have been given essential caregiver status, enabling them to visit during the height of the pandemic. But the service did not support this, so people were needlessly deprived of social interaction.
“When visits were re-established, areas people could use lacked appropriate privacy.
“Not only did these issues impact people’s quality of life, they also undermined their health outcomes, sense of worth and exposed them to avoidable risk of harm.
“We also found the service was short staffed, which affected its cleanliness, and some employees had not received essential training, including to protect people from the risk of abuse.
“Behind these failings was a lack of leadership and oversight to ensure the service provided people with high-quality, safe care and treatment. “We continue to monitor the service closely. As it is in special measures, we will inspect it again within six months.
“The service’s leaders know where improvements must be made. If these are not implemented, we will take further action which could lead to its closure.”
- The provider of the service, NYMS Limited, lacked oversight and governance arrangements to ensure quality of care maintained at the home
- Audits were in place but had not been used to make necessary changes or drive improvements to keep people safe
- Staff morale was poor, leading to people receiving inappropriate care that did not respect them or consider their dignity
- There were not enough staff to undertake effective cleaning of the home or to support people whose behaviours posed a risk. Staff had not received the required training to ensure competency
- Infection prevention and control was not well managed, and inspectors were unassured staff used personal protective equipment appropriately
- Visiting arrangements were not in accordance with government guidance
- Medicines were not managed safely, and risk assessments had not been completed consistently. Behaviours plans were not in place to support staff provide appropriate care
- People were not always protected from the risk of harm and safeguarding referrals had not been raised when required. However, when incidents had been raised, they had been investigated and information shared with appropriate professionals
- Staff felt unsupported, reporting the home lacked structure or clear guidance to enable them to fulfil their roles
- Residents were not supported to enjoy choice or activities to occupy their time, however they had contributed to menu planning.
Full details of the inspection are given in the report published on our website.
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