Background to this inspection
Updated
14 December 2019
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 Care Act 2014.
Inspection team
The inspection was carried out by one inspector 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
Penlee 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.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We looked information we had about the home and at notifications received from the service. A notification is the means by which providers tell us important information that affects the running of the service and the care people receive. We used all of this information to plan our inspection.
During the inspection
We spoke with 10 people who used the service, 4 visitors, 6 staff members and the registered manager. We spoke with a visiting professional. We reviewed the care records of three people, medication records, records of accidents, incidents, compliments and complaints. We reviewed staff recruitment, training and support information as well as audits and quality assurance reports. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
Updated
14 December 2019
About the service
Penlee is a residential care home providing residential care for up to 25 people in one adapted building. At the time of the inspection 22 people were using the service. Some of the people who lived at the service needed care and support due to dementia, sensory and /or physical disabilities.
People’s experience of using this service and what we found
At the previous inspection we found the service environment was not always safe for people and heating was not always consistent. At this inspection we found improvements had been made. Window restrictors were in place on upper floors to ensure peoples safety. Heating was consistent throughout the service and wall mounted radiators were in place of portable heaters if people wanted any additional heating.
Staff understood their role in protecting people from harm and assessing avoidable risks. There were enough staff to provide care to people and they were available when people needed support. People received their medicines as prescribed.
People received care and support from staff who knew them well. Staff were trained and competent in their roles and monitored people's health and wellbeing. When needed, referrals were made to other healthcare professionals. Staff responded to advice given to ensure people received the care they required.
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 told us they felt happy and safe living in Penlee. The service was clean and fresh smelling throughout.
Care plans were personalised and reflected people’s individual needs. The service supported people to engage in activities both inside and outside of their home. People's communication needs were being met and complaints were acted upon.
The quality of the service was monitored regularly through audit checks and receiving people’s feedback.
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 Required Improvement (Published 4 December 2018)
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
This was a planned inspection based on the previous rating.